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Executive Business
Coaching Form

You are interested in Executive business coaching. So rather then give you a whole sales pitch on why I can help you, I am giving you the opportunity to experience it for yourself for FREE

I am giving you a FREE 20 minute coaching session to show you for yourself that I can help you achieve your goals.

In order to better prepare for our 20-minute consultation, please fill out the following questionnaire. The questions below will give you an idea of where my clients can benefit from my services. The way you answer will give me direction in how to make our 20 minutes together the most impactful for you in your life.

E-mail
   
Company and position
   
Name
   
Phone
   
I am clear on what I really want for myself

I am clear on what I really want for my business/company

 
I stay focused on what is important to me
   
I consistently take action toward accomplishing my business objectives
   
I push through my fears to Accomplish what must get done
   
I have established the desired environment that gets results I need to produce in my company/business
   
I set goals in a way that I can easily achieve them
   
I am effective at problem solving and meeting challenges that I am faced with in my company/business
   
I know how to recognize the limiting beliefs that hold me back from what I am trying to accomplish
   
I know how to rewrite my rules so I can win the game and be happy healthy & wealthy
   
I experience balance in my work and personal life
   
I have plenty of prospects for my business/company
   
I know who my perfect customer is
   
I have a marketing action plan
   
I am implementing my plan effectively
   
I would like to explore coaching to help me gain momentum in my company/business
   
I would like to explore coaching to help me get balance back in my life
   

Other/Comments:


Thank You ~ once submitted, you will hear from us within 24 hours to schedule your complimentary appointment.

PS: Please note your coaching investment may be tax deductible. Expenses of continuing education undertaken to maintain and improve business and professional skills may be tax-deductible (Treas. Reg. 1-162-5. Coughlin VS Commissioner, 203F 2d 307). Please consult your tax advisor.
Isn't it true that what you really want in your life is more happiness? Research has shown that without question this is everyone's top goal in life.

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