Coaching Interest Form
This form will be used to help me determine how to best be of service to you. All responses are confidential. Filling out this form is free and does not in any way obligate you for any services.
Email address *
What is your First name? *
Your answer
What is your Last name?
Your answer
Please check the items you are initially interested in exploring. *
Required
What is your PRIMARY goal in being coached? *
What is your SECONDARY goal in being coached? (if any) *
If you could put a title to what you want to be in 5 years, what would it be? For example- "Citrix Architect" or "Solutions Architect" or "Independent IT Consultant" *
Your answer
What are you most wanting to accomplish with coaching and/or mentorship? *
Your answer
How many years (if any) have you worked with Citrix technologies? *
Your answer
How important is Citrix in your LONG TERM career plans?
Not very important
Very Important
Please rate yourself on a scale of 1-10 of how you feel about SELLING or TEACHING people about Citrix technologies. *
Not Confident
Completely Confident
Please rate yourself on a scale of 1-10 of how you feel about ADMINISTRATING Citrix technologies. *
Not Confident
Completely Confident
Please rate yourself on a scale of 1-10 of how you feel about BUILDING Citrix technologies. *
Not Confident
Completely Confident
Please rate yourself on a scale of 1-10 of how you feel about ARCHITECTING Citrix technologies. *
Not Confident
Completely Confident
Please List any other technology areas you feel you need improvement within (if any)
Your answer
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