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A2C Coaching Intake Form
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Email
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Your email
First Name
Your answer
Last Name
Your answer
Organization and Role
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I am looking into coaching for...
Myself
Another person
Other:
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Have you been coached before? What is your experience? (not needed if you are looking into coaching for another person.)
Your answer
Why are you thinking about coaching? What do you hope to get out of the experience?
Your answer
How do you see diversity, equity, and/or inclusion in your work or the work of your work? Is this something you would like to pay attention to in your coaching experience?
Your answer
Anything else you'd like me to know?
Your answer
I am interested in... (filing this out does not constitute a contract)
The 10 session weekly package: 1 intake session and 10 coaching sessions: $2,700
The 10 session bi-weekly package: 1 intake session and 10 coaching sessions: $2,900
The 20 session weekly package: 1 intake session and 20 coaching sessions: $5,000.
The 20 session bi-weekly package: 1 intake session and 20 coaching sessions: $5,500.
Other:
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