Name:

Email:

Phone number:

What are good times to reach you for a phone conversation of 25-40 minutes? I'll email you to set up a time - preferably 9-5 weekdays.

What is your current situation?

Where would you like to be in a year?

What would you like to achieve through coaching?

Assuming that you find the right coach, are you clear that you're ready to start coaching soon?

If you find that my coaching suits you, are the fees OK for 9 sessions?
(Fees are listed on the How Coaching Works page.)