Coaching Interest Form
Tell me more about why you are interested in coaching and what you hope to achieve.
* Required
Email address
*
Your email
Name
*
Your answer
What do you hope to achieve by working with a coach? (Think of 2-3 goals you'd like to accomplish in the next 6 months.)
Your answer
Imagine you have already achieved the goals you articulated above. What difference would that make for you?
Your answer
On a scale of 1 to 10, how motivated are you to make progress toward your goals?
unmotivated
1
2
3
4
5
6
7
8
9
10
highly motivated!
Clear selection
How much are you willing to invest financially to reach your goals?
Each month would include at least 2 coaching sessions, plus access to additional support and resources.
$250/mo (= $1500 over six months)
$150/mo (= $900 over six months)
$100/mo (= $600 over six months)
I'm unwilling to invest financially at this time.
I'm willing to invest financially, but the above amounts would be an obstacle for me.
Other:
Clear selection
What questions or concerns do you have about entering a coaching relationship?
Your answer
What's the best next step for you?
Sign me up! Let's get something on the calendar!
I'm interested, but have concerns. Let's chat further to discern if this is a good fit.
Other:
Clear selection
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