Email (required) *

First Name *

Last Name *

Please let me know your goal or outcome for coaching? … as precisely as possible. *

Have you worked with a coach before? Please briefly explain if you have. *

On a scale from 1 = poor to 10 = Fabulous, please rate your current life: Work/career: ____ *

On a scale from 1 = poor to 10 = Fabulous, please rate your current life: Personal: _____ *

Are you open-minded and willing to explore stored beliefs, your past, new concepts, and new ways of thinking and doing things? *

Our discovery call will be via Zoom. Do you have a “Do Not Disturb” place that you and I can speak in confidence and without interruptions? *