Coaching is a personal process that begins with both of us deciding whether this is a fit. Name * First Name Last Name Email Address * Phone * Country (###) ### #### Have you ever been coached before * Check one Yes No How do you prefer to be contacted * Phone Email Both What is the biggest challenge you are currently facing in your life? * If you could wave a magic wand, what would you change about your circumstances or life as it is now? * Have you experienced any recent changes in your life? Are you currently under the care of a therapist, social worker or psychiatrist? Yes No How strongly do you agree with the following statement: "I am open and ready for my life to change." * Strongly Disagree Disagree Neutral Agree Strongly Agree Which of the following statements best describes your current life view? * Pick Only One Life's is Hard Bad Things Happen & You Can't Do Anything About It Life's Not Fair Life Has No Remote, Get Up & Change it Yourself Every Moment is An Opportunity Why Dwell on the Past When We Only Have the Present Life's a Box of Choices Thank you! We will be in touch with you within 48 hours.
