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WOULD YOU LIKE ME TO BE YOUR PERSONAL COACH?
Tell me about yourself.

My goal is to provide specific support and one-on-one coaching to help you achieve your personal and professional goals.

This application will help us determine if we are a great fit for each other.

 

*Required

 
First Name *
 
Last Name *
 
Email *
 
Phone *
 
Tell me about your background. Education, career, etc. *
 
Have you ever had any personal coaching? *
 
If yes, over what length of time?
 

If yes, what kind?

Was it beneficial? Why or why not?
 
Are you open to receiving honest feedback? *
 

What would you like to focus on during our coaching sessions? *