Firebird Framework Mentoring Program

1

Full Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Area Code

Phone Number

3

E-mail* This field is required.

example@example.com

4

What range best represents your annual earnings?* This field is required.

Below $75,000

$75,000 - $100,000

$100,000 - $150,000

Above $150,000

5

What particular difficulties are you facing in your career?* This field is required.

I'd like support overcoming chronic workplace dread (I feel like I'm constantly on edge, dreading the start of each workday, and it's taking a toll on me).

I'd like support with constant exhaustion and frustration at work (The long hours and overwhelming workload are draining me both physically and emotionally. I fear that if I don't find a solution soon, I'll reach a breaking point.)

I'd like support with building confidence: (I know I'm capable, but I struggle to believe in myself and my abilities)

6

What specific challenges are you currently facing in your professional life that prompted you to reach out?* This field is required.

7

What impact do these challenges have on your overall well-being and sense of satisfaction in your career?* This field is required.

8

When are you looking to start?* This field is required.

Right now

In 1 or 2 months

6 Months

I don't know / over 6 months

9

What do you wish was different* This field is required.

10

List other coaches / coaching programs you paid for (Coachability is important to us)?* This field is required.