JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
How can I support you?
To give me a first impression of your situation, please fill out this short form. All answers are absolutely confidential and will only be seen by me.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name:
*
Your answer
Last name:
*
Your answer
Your mobile phone number
*
(with country code please)
Your answer
Your E-Mail address:
*
Your answer
Your website:
(if available)
Your answer
Please shortly describe your current situation:
*
Your answer
What goal would you like to achieve and why?
*
Your answer
What are the biggest obstacles that keep you from reaching your goal?
*
Your answer
Have you ever worked with a coach or therapist? If yes, for what?
*
Your answer
Do you have the financial resources for a 1:1 coaching (at least €2,500) and are you willing to invest in yourself and your personal growth?
*
Yes, I have the resources and want to invest in myself. I see the value and am prepared to take the necessary steps.
No, at the moment I don't have the resources or I'm currently focusing on other priorities. 1:1 coaching in this price range is not an option for me at the moment.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report