BIPOC Group Coaching Assessment
Answer a few questions to see if you meet the basic requirements.
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
1. Which of these best describe your current situation?
*
I can’t stop stressing about my lack of confidence and worry that being my genuine self will ruin my job, such as not getting clients. It bothers me a lot.
I have my good days and bad days. Nothing is urgent.
I’m actively working on my lack of confidence and being my genuine self and have support, such as therapy. I feel better than ever before!
2. What have you invested in to improve your lack of confidence and being your genuine self? Who have you worked with? What have you done?
3a. In your own words, describe the outcome that you’re looking to achieve by investing in coaching with me.
3b. What do you feel is your biggest obstacle to improving your lack of confidence and being your genuine self?
4. What do you feel is your biggest obstacle to improving your lack confidence and being your genuine self?
4. How willing and able are you to invest in improving your confidence and being your genuine self?
*
less than $500
$500-1500
$1500-2000
There’s no limit; just make it go away!
5. What is your readiness to solve this?
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I’m ready and able to commit now
I’m looking for a solution in 3-6 months
I’m just looking, not in a hurry, in a year
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