Please complete this questionnaire

To receive your FREE one hour session please fill out this form.

It helps me know who you are so I can serve you in the best way.

I will send you proposed dates by email within 24 hours.

Name*

Email*

Phone*

City*

Province or state*

1. What is your profession?*

2. If this session changes your life, what will we have talked about?*

3.How important is this change to your life on a scale from 1 to 10? *

4. How ready are you to make changes in your life?*

5. How ready and willing are you to do the deep inner work to become fully in charge of your outcomes? *

6. What is your default pattern when there is a difficult conversation to be had?*

7. Please share how the topic you'll be bringing has impacted the quality of your life?*

8. Why now?*

If you’re still wondering if you’re ready, here’s how you can know:

Your great ideas are not translating into great results
You’re working hard and not getting anywhere
You get caught up in details with no time left for visionary planning
You’re frustrated by unresolved tensions within your team
You doubt your leadership skills
You feel tired, overwhelmed and uncertain
You know what needs to change, but it’s just not happening
Your personal life is sidelined by your business

inner-hero-whatis

Great business and professional outcomes start with you.

Are you ready to say YES to yourself?

YES I’M READY

Everything you share with me will be kept completely confidential. I am a Professional Certified Coach (PCC), a member in good standing of the International Coach Federation (ICF), and I adhere to the ICF Code of Ethics.

You can find the ICF Code of Ethics here: https://coachfederation.org/code-of-ethics

I look forward to learning more about you, what you want to bring to the world and how I can help you develop the personal leadership skills to make that a reality.

Questionnaire for Adults with ADHD
Questionnaire for Business Professionals