The RESET Group Coaching Request 
Thank you for signing up to be included in the Chicago Suburbs Midlife Sisterhood.  You will be notified when the doors open. 
Email *
Your Name  *
Phone Number *
Email Address *
Which of these are you currently navigating?  *
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What feels most challenging for you right now?
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What would you most like to gain from a group coaching experience?
Checkboxes — Select all that apply

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What have you been putting off or wishing you could change? *
What would make this group coaching experience feel valuable to you? *
Have you participated in coaching or a group program before? *

What would you like me to know about you or what you're looking for?

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Which statement best describes where you are right now? (Check all that apply) 

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A copy of your responses will be emailed to .
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