Full Name *

Email *

Phone *

Please Select Your Primary Focus

Primary Focus *

Performance Coaching

Brand Narrative Development

Select Primary Focus

Current Experience Level

Current Experience Level *

Beginner (Limited experience)

Intermediate (Some experience)

Advanced (Regular speaker looking to improve)

Professional (Paid speaking engagements)

PC - Current Experience Level

Performance Goals

Performance Goals (Multi-select) *

Improve public speaking confidence

Enhance on-camera presence

Develop executive communication skills

Master storytelling techniques

Overcome speaking anxiety

Other

PC - Performance Goals

Performance Goal - OTHER

Upcoming Opportunity

Upcoming Opportunity

Yes

No

PC - Upcoming Opportunity

If Yes: Event Date, Type of Event, Expected Audience Size

Specific Challenges

Specific Challenges (multi-select)

Stage fright/anxiety

Message clarity

Audience engagement

Body language

Voice projection

Q&A handling

Other (with text field)

Specific Challenges Other

Current Brand Status

Current Brand Status *

Current Brand Status

Starting Fresh (New brand)
Evolving (Existing brand needing refinement)
Pivoting (Major brand changes)
Scaling (Expanding brand reach)
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BN - Current Brand Status

Brand Development Goals (Multi-select)

Brand Development Goals

Define core brand message
Create compelling brand story
Develop thought leadership content
Establish brand voice guidelines
Build content strategy
Other (with text field)
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BN - Brand Development Goals

Brand Development Goal (Other)

Brand Development Goal (Other)

Target Audience Understanding

Who is your primary audience? *

primary audience

What industry do you serve? *

Industry Served

What are your audience's main pain points? *

Audience Pain Point

Brand Challenges

Current Brand Challenges *

Current Brand Challenges

Unclear messaging
Inconsistent voice
Low engagement
Market differentiation
Content creation
Other (with text field)
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BN - Current Brand Challenges

Brand Challenge (other)

BN - Brand Challenge (other)

Just a few more...

What is the biggest fear currently holding you back? *

I'm not quite ready yet, but I'd like to learn more.

Fear of Failure
Fear of Success
Fear of the Unknown
Fear of Making the Wrong Decision
Fear of Not Being Good Enough (Imposter Syndrome)
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Have you worked with a coach before? If yes, what was your experience? *

Which of the following best describes your current readiness for coaching? *

I'm ready to take action and make significant changes.
I'm open to exploring possibilities and learning new strategies.
I'm curious about coaching but unsure if it's the right fit for me.
I'm not quite ready yet, but I'd like to learn more.
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Timeline Preference *

Timeline Preference

Immediate (Within 2 weeks)
Short-term (1-2 months)
Medium-term (3-6 months)
Flexible/Not sure
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Timeline Preference

Preferred Contact Method: *

Preferred Contact Method:

Phone
Email
SMS
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How did you hear about us? *

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