1.1 Coaching Questionnaire
Thank you for your interest in working with me. Don't worry this is not a commitment, this is just a questionnaire to see if we would be a good fit to work together.

Just a little bit about me. My name is Taira and I have been working with women for over a decade to help raise their self worth and teach positive lifestyle practices that make a huge impact in the quality of their lives. My main focus is on what I like to call Authentic Happiness. We experience Authentic Happiness when we release all of the things that are holding us back like conditioned behavior, bad habits and harsh self talk, to mention a few.

This is not an easy road that requires honesty with yourself and a commitment to positive change. But luckily for you I am here to help. I personally started on this journey in 2012. And have since collected the tools to create a solid foundation for personal growth and my mission is to share that with others.

Don't think of me as the person who is going to fix all your problems, that person is you. I am here to give you the strength and motivation. I am your guide, your friend, and your coach.
What is your First and Last name? *
What is your email? *
What is your phone number? *
Have you ever worked with a Coach before? *
Why are you seeking a coach now? *
What are THREE things you would like to work on in the next 90 days? *
Required
From 3 things that you selected above, Which one is the most important and why? *
On a scale from 1-10 how motivated are you to change that situation? *
I can live with it.
The change starts today!
How do you feel about Hula Hooping as a healing tool? *
Is there any other information you would like to share? *
Working with a coach is an investment in your future. Are you ready and able to make that financial investment now?
Clear selection
Are you interested in booking a FREE Consult? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy