Service Inquiries
This should take you no longer than 7 minutes to complete.
These questions give me helpful context so I can come prepared with the most thoughtful and relevant options for you. We can talk through them together during our meeting, or I’m happy to share information in advance if that’s useful.
Name
*
First Name
Last Name
Company Information
Company Name
Title
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Which Services are you interested in? (Select all that apply)
Individual coaching
Group or Team Coaching
Assessments
Customed Designed Leadership Development
People-First Leadership Workshop
Culture Assessment
Employee Engagement
Talent Strategy and Organizational Systems
Change Implementation
Process Improvement
What type of support are you most interested in right now?
*
Individual 1:1
Team Level
Functional Level
Organizational Level
Other
What prompted you to schedule this inquiry now?
*
What challenges or opportunity are you hoping to explore?
*
What would make this conversation valuable for you?
*
What are you hoping to strengthen, shift or solve?
*
How would you know if this investment of time, and money would be worthwhile?
*
What is the desired time frame?
*
Immediately
3-6 months
6-12 month
within 1 year
Not sure
Other
Have you worked with a coach or consultant before?
*
Yes
No
Are there any constraints or considerations to know up front?
Timing, budget, confidentiality, organizational dynamics etc.
How did you hear about me?
*
Linkedin
Facebook
Website
Google
Referral (If so please give me their name so I can thank them)
Other
Is there anything else you want me to know before we meet?
Thank you again, I look forward to meeting you.
Please verify that you are human
*
Would you like to be added to my email list?
Yes
No
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