Individual Coaching Form

1
Dr Dave Beck - onboarding

Thank you for your interest in working with me one-on-one. This form will take around 10 minutes to complete, and is the first stage of my onboarding process. At the end of the form you will be asked to submit a $3000 deposit.

After that, we'll arrange a couple of calls and then I will ask you to complete a longer self-survey form. Depending on your schedule it may take 2 to 3 weeks for us to get to know each other well enough to decide whether to work together. My time is free until we make a decision.

If either of us does not want to proceed, for any reason at all, I return the deposit in full. If we do work together, it covers all or part of your first monthly coaching payment.

I look forward to speaking with you,

Dr Dave Beck
2
Name
First Name
Last Name
3
Email
example@example.com
4
Where can I find out about you?LinkedIN, personal website, media profile.... whatever you think is the best way for me to get to know you a touch.
5
Where did you find out about me?
6
If you could create any life you wanted, what would it look like?
Huge
Large
Normal
Small
Ok
Ok
7
What contribution do you want to make to the world?Either the world around you, or the world at large. I'm ambivalent about scale.
Huge
Large
Normal
Small
Ok
Ok
8
What are you most proud of in your life so far?
Huge
Large
Normal
Small
Ok
Ok
9
Payment submission
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Coaching DepositDeposit prior to onboarding. If either of us does not want to proceed, for any reason at all, the deposit is refunded in full.
$3,000.00+
Back
Total cost $0.00
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Should be Empty:

Dr Dave Beck - onboarding