Discovery Call Application
Thank you for taking the time to complete these questions. Your answers are confidential. They are meant to help you gain clarity in what you are seeking and for me to understand if I am the right coach for you. --- Shannon Staples, High Vitality Life Coaching
Email address *
Name *
Your answer
Best phone number to call you for our appointment *
Your answer
What isn't working in your life? What are you struggling with? *
Your answer
Where would you like to be in a year from now? *
Your answer
Why is that important to you? *
Your answer
What might get in the way of you achieving that? *
Your answer
What do you need, to create the outcome you want? *
Your answer
Why is now the right time for you to get coaching? *
Your answer
What interests you about working with Shannon (why Shannon?) *
Your answer
What do you want/expect from a coaching relationship? *
Your answer
On a scale of 1 to 10, how committed are you to achieving your goals? *
Not Committed.
Totally Committed!
Are you willing and able to invest in coaching? *
Is there anything else you would like me to know? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.