Discover Session Application

Provide a little information

Private Coaching works to help you gain results fast. When you find the right coach who is a good fit for you, your growth begins to accelerate at a much higher level. By filling out this questionnaire, I'll learn a little bit more about you, and we'll be able to make full use of our time on the phone together. It helps us get straight to your core issues and desires.

Enjoy the process!

* Indicates required field

Name *

First

Last

Email *

City, State, Country *

Time Zone *

Phone Number *

If you are in a country other than the US, do you have access to Skype or Zoom? *

Yes No I prefer to use my phone

Are you familiar with Coaching and have you ever worked with a coach before? *

Yes No

Feel free to tell me more *

What area of your life is causing you the most concern right now? *

How is this situation or circumstance impacting other areas of your life right now? *

Have you solicited any other outside support in the past? And if so, what worked and what didn't work for you? *

What would you like to create instead? What is your dream, vision or goal that having a coach will help you achieve? *

What will your life look like after you've achieved your goal? How will other areas of your life be impacted? *

Would you be interested in hearing about a one-day intensive? *

Submit My Answers

Thank you! After submitting your answers, you'll be led to the booking calendar, and then can expect to receive a confirmation email for your appointment within 24 - 48 hours. Make sure you find the confirmation email in your inbox.

Clarity Questionnaire

Provide a little information