Thank you for choosing Victory Leadership Coaching!

This form will help me better understand you and your goals before our call together.

Last Name

First Name

Nickname (If you have one)

Email *

Phone *

Preferred Contact Method

Phone

Text

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Current Role + Experience

Job Title:

Industry:

How long have you been in this role?

Are you leading people, projects, or both?

# of Direct Reports (if any):

Previous Leadership Experience (summary):

Current Challenges

What are the top 3 leadership challenges you're currently facing?

1
2
3

If you struggle with any of the following, check all that apply:

Other (Please Describe)

Goals

What would success in this coaching relationship look like to you?

If your goal is anything other than what is listed above, describe it here:

Commitment + Coaching Fit

Have you worked with a coach before?

Yes

Why now? Why leadership coaching at this stage of your life/career?

Are you ready to be challenged, held accountable, and take action?

Yes

Are you able to commit time and energy to a 6–12 week coaching container?

Yes

Final Thoughts...

Is there anything else you want your coach to know before getting started?

Once you click submit, it will take you to a link to schedule a call with me.

Thank you!