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Thank you for your interest in my coaching and mentorship program! To ensure a successful and mutually beneficial experience, this questionnaire helps us assess if our program aligns with your goals and expectations.
Answer all questions thoughtfully & honestly.
Name
E-Mail
Briefly describe your current situation in the area you'd like coaching for (e.g., getting started, scaling practice, business development).
What are your top 3 goals you'd like to achieve through coaching? What are some of the challenges you currently face in reaching these goals? Be as specific as possible.
Coaching requires a significant time commitment. The next cycle begins August 1st. Are you prepared to dedicate 10 hours per week to coaching sessions, homework, self-reflection and business development?
My coaching program involves a 90 commitment with an $849 investment. Are you comfortable with this investment in your personal and professional growth?
What are your expectations for the coach-mentee relationship (e.g., accountability, encouragement, strategic guidance)?
Are there any specific areas of my coaching expertise mentioned on my website that resonate most with you?
Is there anything else you'd like me to know about your goals, expectations, or preferences for this coaching experience?
Preferred Start Date
Thank you for taking the time to complete this questionnaire. All responses will be kept confidential.

Based on your answers, I will reach out to you to discuss if my coaching program is a suitable fit for your needs. I may reach out to schedule a brief introductory call to discuss your goals in more detail and answer any questions you may have.

Looking forward to connecting!
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Thank you for your interest in my coaching and mentorship program! To ensure a successful and mutually beneficial experience, this questionnaire helps us assess if our program aligns with your goals and expectations.

Answer all questions thoughtfully & honestly.