THRIVE Coaching Intake Form
Please submit your information to participate in the coaching aspect for THRIVE. Please record video answers to the 2 questions below using your mobile device, laptop or tablet. Once recorded you can upload to the form and submit!
Full Name
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First Name
Last Name
Email Address
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example@example.com
Gender
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Male
Question #1
1. In a video 30 seconds or less, share a little about what new insights or key concepts that you gained from attending the THRIVE workshop?
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Question #2
Is there an area that you were interested in getting coaching to improve your effectiveness as a healthcare leaders?
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