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Coaching with Leslie
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Where did you hear about coaching with Leslie?
*
On your mailing list
Google Search
Facebook
Instagram
Personal Friend
Google Search
Podcast or Radio
I'm on Email list
What is your profession?
*
Performing Artist (Actor, musician, songwriter, etc)
Writer
Creative (Director, Creative Director, Producer, Choreographer, etc)
Entrepreneur or wanting to be one
Visual Artist (of any kind)
Other
What program are you most interested in?
*
Single Power Session
Ongoing Monthly Coaching
Wow Project Coaching
Masterminds
What would you like to gain from the coaching process
*
I'm super stuck and need to figure out what I really want
I'm in a career transition and need help navigating the waters
I have a project that I want to start or finish or bring to fruition
I'm an actor and want a career coach
I want to start a business, or already have one and want to grow, sell or expand.
Other
Why is it important to you now?
*
What has held you back in the past?
*
What's your biggest challenge you face right now that you'd like to tackle in our coaching together?
*
If you could have your "rockstar" dream come true this year, what would that be?
*
Are you ready to invest personally and financially to a 3-12 month program to transform your career and your life?
*
YES
NO
When are you most reachable by phone? (also, in the "other" box, please put your time zone. EST, PST, etc.
*
Weekdays between 9 a.m. and noon
Weekdays between noon and 5 pm
Weekends
Evenings after 6 pm
Other
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