Complete this form and we will contact you if you qualify for a consultation.

"It's Hard to Put Your Life's Energies Behind a Compromise."

Is the the right time to seek coaching assistance? Complete this short survey discover if now is the time.
Email *
Name *
Phone Number *
Which area do you struggle most or could benefit from if you had support? *
Provide greater detail about why you chose the option/s above. *
What industry are you building a business in? *
How long has it been since you realized that you needed support? *
How do you respond to challenges? *
What is your experience with goal setting? *
What topics are of greatest interest to you?
How would your rate your level of Rate your current level of self-awareness? *
Are you the sole decision maker for your business? Yes/No *
Have you tried working with a business coach previously? *
How do you find/acquire most of your customers now? *
In the past 12 months have you signed any contracts or documents without having them reviewed by an attorney? *
How is your business organized? DBA, LLC, S or C - Corp, Partnership, Non Profit *
How many employees do you have? *
What's Holding You Back? What are you struggling with right now? *
What is most important to you at this stage of your business? *
After review of your submission, if we believe you are a good fit, we will contact you and confirm your scheduled appointment. Please share with us the best time to reach you. *
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