| Have you worked with a business or life coach before? |
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Yes No
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What areas are most important for you to focus on in coaching?
(please check all that apply) |
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Leadership Entrepreneurship Management Sales & Marketing Communication Skills Creative Work & Innovation Presentation & Speaking Skills Written Communication Personal Growth & Development Health & Wellness Relationships & Love Parenting Wealth & Prosperity Emotional Happiness Spiritual Enlightenment Making a Positive Contribution
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| What specifically is most important to you when hiring a coach? |
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| What are the top three results you're committed to achieve by hiring a coach? |
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1. 2. 3. |
| What industry are you in? |
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| How long have you been engaged in the same line of work? |
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| What is your yearly income? |
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| Ideally, how often would you like to meet with your coach? |
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Which day(s) of the week works best to conduct our coaching sessions? (please check all that apply) |
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Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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What time slot(s) usually work best for coaching? (please check all that apply) |
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7am 8am 9am 10am 11am 12 noon 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm
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| How important is it for you to have direct access to your coach via phone or email (on-call coaching) between your scheduled sessions? |
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| Name |
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| Title or Position |
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| Company Name |
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| Company Address |
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| City |
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| State |
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| Zip |
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| Country |
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| Phone |
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| Alternative Phone |
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| Email |
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| Website |
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| Comments |
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