Yes! I'd Like to Schedule a Life Coaching Consultation
Thank you for requesting a complimentary Life Coaching Consultation. It's my pleasure to set aside a small amount of time each month to meet with families who are considering academic life coaching as a next step.
Because my time is limited and coaching is only successful if the student is a willing participant, I will only consider applications that have also been filled out by the student. However, the parent (of students who are under the age of 18) may ALSO fill out this survey, so that I have access to both party's perspectives.
All information is completely private and confidential. I'll be in touch soon by email to let you know about next steps!
Who is filling out this form?
Student (if you are under the age of 18, please get parent permission to fill out this form.)
Student & Parent together
What is the name of the person filling out this form?
What is your city, state, and time zone?
How did you find out about me?
How does the student feel about the idea of receiving coaching?
Relieved & ready for help
Open but cautious.
Resistant and/or wary
The student doesn't know about it yet
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This form was created inside of Bright Balance LLC.