Leadership Performance Coaching with Carole

Leadership Performance Coaching with Carole

Please take time to complete the following form. I will reach out to schedule a discovery session.
Name

First NameLast Name
Best Email for communication
example@example.com
What is your cell?

Area CodePhone Number
Can I text you?
What do you want most right now? Why?
What does success look like to you?
What is working well in your life right now?
What do you see as an obstacle to your success?
How do you handle pressure?
What are you tolerating right now?
Which of the following do you feel are keeping your from reaching your goals?

What would it be worth to you to address these issues or what is the cost of not addressing them?

	1	2	3	4	5

1 is Worth little, 5 is Worth so much

Are you currently under a medical professional's care for depression or anxiety?
Are you currently receiving counseling or therapy from a medical professional?
What are your expectations from coaching?
AGREEMENT: By submitting this document, I understand all information I entered is considered strictly confidential. The data gathered from this form will only be used as a basis for the type of coaching the client will receive. I understand to be successful, it is vital to follow the plan agreed by both the life coach and client.
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