01 APEX Coaching

1
Which best describes your current relationship with public speaking?
Please Select
Please Select
I avoid it whenever I can
I do it when I have to, but I don’t enjoy it
I’m okay with it but want to be better
I enjoy it and want to grow
I already speak publicly and want to go APEX level
2
How often do you speak (meetings, presentations, events, etc.)?
Please Select
Please Select
Rarely or never
Occasionally (a few times a year)
Frequently (8-12 times a year)
Regularly (more than 18 times a year)
3
Have you ever been paid to speak?
Please Select
Please Select
No, not yet
Once or twice
Yes, a few times
Yes, I get paid regularly to speak
4
What are your short-term goals (in the next 6–12 months)? Choose all that apply:
Please Select
Please Select
Feel more confident speaking in front of others
Improve my presentation or storytelling skills
Lead meetings or team discussions more effectively
Speak at an event or conference
Start building a personal brand as a speaker
Other (please specify) ________
5
What’s your long-term vision for public speaking?
Please Select
Please Select
I want to speak confidently at work or in social situations
I want to transition industries & become a regular speaker
I want to inspire or educate others
I want to build a career or business around speaking
I’m not sure yet — just exploring!
6
What’s the biggest challenge you face with public speaking right now?
Please Select
Please Select
Fear or anxiety
Not sure what to talk about
Struggling to organize my thoughts
Trouble connecting with my audience
Lack of opportunities to practice
Can't get paid or paid enough
Other (please specify) ________
7
Have you had any training or coaching in public speaking?
Please Select
Please Select
No, never
I’ve taken a course or attended a workshop
I’ve worked with a coach
I’ve had informal experience (e.g., Toastmasters, mentors, etc.)
8
Who do you want to speak to?
Please Select
Please Select
Colleagues or team members at work
Industry professionals or peers
Faith based groups
Students or youth
Business owners or entrepreneurs
Other (please specify) ________
9
What topics are you most passionate about speaking on?
10
What message or impact do you hope your speaking will have?
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11
Why do you want to become a better public speaker?
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Ok
12
What would change in your life or work if you achieved or failed to achieve your speaking goals?
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13
What would you like support with most right now?
Please Select
Please Select
Gaining confidence
Improving delivery and presence
Crafting my message or talk
Getting opportunities to speak
Launching or growing a speaking business
Getting paid for my message
Other (please specify) ________
14
Any additional comments or questions?
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Ok
15
Please enter your email address.* This field is required.
example@example.com
16
Please enter your name.* This field is required.
First Name
Last Name
17
Please enter a cell phone number.* This field is required.
Please enter a number that we can text.
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