Career & Leadership Coaching Inquiry Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.Please use an email address that you regularly check. We will communicate with you via email
example@example.com
3
Current or Most Recent Position & Name of Organization* This field is required.
4
What's your goal for engaging with a coach?* This field is required.Start with, "After working with Coach Kurly, I hope to be/have....."
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What are the implications of not working on your goals?* This field is required.If you're not able to work on these stated goals, what risks or concerns are you foreseeing?
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What are your timelines for working together?* This field is required.Share when you would like to start, target milestones, goals, etc. Please be as specific as possible.
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How do you envision us working together?* This field is required.# of sessions, frequency, communication style, format, etc.
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What investment are you willing to put into this?* This field is required.Please share your budget, time investment, etc. For reference on the rates of hiring a coach, check this link: https://www.betterup.com/blog/career-coaching-cost and this link: https://careerminds.com/blog/cost-executive-coaching.
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How much are you willing to invest to engage with a professional coach to meet your specified goals? Select the closest budget range based on your response above on the # of sessions, frequency, etc.For reference on the rates of hiring a coach, check this link: https://www.betterup.com/blog/career-coaching-cost and this link: https://careerminds.com/blog/cost-executive-coaching.
Below USD 200 for the program
From USD 300 to USD 500 for the program
From USD 600 to USD 1000 for the program
From USD 1000 and above for the program
10
How did you find out about our services?* This field is required.
Please Select
Please Select
LinkedIn
Facebook / Instagram
Website
Email
Referral
Other
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Anything else you'd like to share?Please share additional context you think would be helpful, or ask questions you have. You may also leave your mobile number so I can contact you through viber or whatsapp once I've reviewed your form.
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