Discovery Call

Please fill out the following questionnaire so I can get to know you a bit before we talk!

Name *

First

Last

Phone *

Email *

Occupation/Job/Career *

City/State (if in US) or City/Country/Time Zone (if outside US) (copy) *

Name two things that you feel you have been successful at (work or personally) *

Name two goals you have wanted to achieve but haven’t. How long have you been thinking about these goals? *

Have you ever worked with a coach before and if so, what was that experience like for you? *

Name two goals you have wanted to achieve but haven’t. How long have you been thinking about these goals? (copy) *

Why do you want to work with a coach and how do you think I could help you?

Time Wise (select one): *

If you chose other please explain why:

Financially (select one): *

I am ready and have the financial ability to do this now.
I am ready and have the financial ability to do this now.
I don’t have the financial resources to invest in myself right now, but I hope to in the future.
Other

If you chose other please explain why:

What does success look like for you in the next year? *