Great to see you’re ready to take the next step!
Reaching this point already says a lot about your commitment to change, and I want to acknowledge that. This form helps me get a clearer picture of what’s brought you here, what you’re hoping for and how I can best guide you. There are no “right” or “wrong” answers, just share as openly as you feel comfortable. And please know, everything you share is kept completely confidential and will only be used to make sure coaching is the right next step for you.
Title
*
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
How did you hear about me/this program?
*
Have you ever worked with a coach before? If 'yes' what was your experience like?
*
Are you interested in Recovery Coaching or Empowerment Coaching?
Recovery Coaching
Empowerment Coaching
Fantastic!
Now we have got the basics out of the way let's get down to the nitty gritty...
What makes you want to embark on a coaching journey right now?
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What specific goals do you want to achieve through coaching?
*
On a Scale of 1 to 10, how ready are you to embark on this coaching journey?
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Not at all ready
1
2
3
4
5
6
7
8
9
Can't wait - want to start now
10
1 is Not at all ready, 10 is Can't wait - want to start now
What is your reason for your 'readiness' score?
*
My programmes start at £600, do you have the budget to invest in your journey now?
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Yes
No
If yes, what would make this investment worth it for you?
*
What changes do you think you need to make to live a fulfilling and purposeful life?
*
What excites you about the idea of working with a coach? What are you most nervous about?
*
Thank you for sharing a little bit about yourself and your journey so far with me.
Just 1 more section to go, the logistics.
How soon are you looking to start coaching?
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How often would you be able to attend sessions?
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Weekly
Bi-weekly
Other
If 'Other', please tell me more...
And finally, is there anything else you'd like me to know about you before we connect?
*
You're One Click Away
You’ve made it to the final step, well done. Click Submit to send your application straight to me, and I’ll read it personally before getting in touch with what happens next.
SUBMIT
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