Coaching Inquiry Form

The purpose of this intake form is to help guide our conversation during our preliminary meeting. This helps me better understand who you are, your goals, and the challenges you face. Complete all the applicable fields below and hit submit. Completing this form doesn't make me your coach; it starts the process.

 
*** Coaching is a creative, thought-provoking process that inspires individuals to maximize their personal and professional potential. The process of Coaching often unlocks previously untapped sources of imagination and productivity. Coaching is NOT THERAPY, COUNSELING, or CONSULTING. The purpose of Coaching is to help you move forward! ***

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Your name *
Email  *
Phone Number *
Website if applicable
Which type of coaching are you seeking?  *
What do you hope to benefit from having a coach? *
Required
In a few words explain what your desired outcome
from our coaching partnership would be? *
In a few sentences as possible tell me about you, such as who you are, who you work with, and what you do. *
If you could project out 1 year, what would be your
ideal situation? *
What current challenges do you think may be preventing you from achieving your goals and desired outcome? *
Why have you specifically decided to reach out to Dr. Brown as your coach? *
Is there anything else you would like to add? 
Submit
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