First Name
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Last Name
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Email
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Company Name (optional)
Are you looking for personal or team coaching?
Personal coaching
Team/organization coaching
Both
Which area of your life or leadership feels most out of alignment right now?
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Clarity and direction
Confidence and self-doubt
Emotional well-being
Professional role or leadership role
Relationships (personal or work-related)
Organizational or team conflict
Too much change in workplace
Lack of time to strategize/create
Other
What’s the primary reason you’re considering coaching at this point?
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Relating to your reason for coaching now, what would success look like in three months?
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What’s currently getting in the way of that outcome?
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On a scale of 1 to 10 (10 being ready, willing, able, and excited to start this professional development journey), how ready are you to begin this impactful journey?
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