Shyness / Social Anxiety / Introversion Coaching
Please fill out this quick form to see if 1 on 1 coaching with Mark would be a good fit for you.

Disclaimer: I am not a doctor, medical professional, psychologist, etc.

The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Note: this is not a free program.
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What is your first and last name? *
Where do you live? *
What is your age and occupation? *
Are you filling out this form for yourself or someone else? (if so, who?) *
Based on your awareness, how much does social anxiety or introversion impact your life? 1 = Barely, 10 = Severely
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What are the biggest issues you are experiencing with social anxiety or introversion?
What are the biggest obstacles and issues that hold you back from improving? i.e. don’t have time, don’t know how, can't change behavior, etc
Best case scenario, what does your life look like if you are able to achieve what you want? i.e. I don’t want to get severely nervous during meetings.
If we work together, how often would you potentially like to work with me? *
Most clients see the biggest transformation with my 3 month program.
Have you ever worked with a coach before? *
Do you have any questions for me to answer?
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