Thank you for your interest in coaching with Brook Kirwin. Please fill out this form so we can better understand your goals and determine how we can best work together.

Personal Information:

Full Name *

Email *

Phone *

Address *

Business and Professional Background

What is your current role/profession? *

Tell us about your current business or professional ventures (e.g., industry, years in operation, size, revenue, team structure): *

Do you own or operate multiple businesses? If so, please describe them briefly. *

Coaching Goals

Why are you seeking mentorship or coaching at this stage of your journey? *

What specific goals are you hoping to achieve through coaching (e.g., revenue growth, leadership development, scaling operations, new ventures)? *

Do you have a specific challenge or roadblock you’re facing right now? If yes, please elaborate. *

Experience and Skills

What are your strongest skills or areas of expertise as a leader/entrepreneur? *

What areas do you feel you need the most guidance or improvement in (e.g., business strategy, team leadership, personal productivity)? *

Vision and Ambition

Where do you see yourself and/or your business in the next 1-3 years? *

What motivates and drives you in your business ventures? *

Are there specific industries or projects you’re looking to expand into? *

Coaching Preferences

Have you worked with a mentor or coach before? If yes, what was the experience like? *

What type of support or guidance are you looking for (e.g., strategic advice, accountability, hands-on guidance)? *

How much time are you willing to dedicate to coaching sessions and follow-up work? *

Additional Information

What attracted you to Brook Kirwin’s coaching program? *

Is there anything else we should know about you or your business? *