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Coaching Connect Form
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1. Which life season best relates to you? Choose all that apply.
Graduating | Recently Graduated
Widow
Single Mom
Dating
Engaged
Newlywed
Married
Divorced
New mother
Peri-menopause or Menopause
Empty nester
Retired or Approaching Retirement
New Business Venturing/Business Owner
New Career
Other
2. What do you hope to achieve in this NEW SEASON of your life? Choose all that apply.
*
Know my purpose
Build self awareness & confidence
Character development
Develop my gifts and strengths
Be more generous
Overcome Fears
Prioritize and accomplish goals
Be more disciplined
Encouraging accountability
Build better relationships
Get organized
Be more productive
Avoid being overwhelmed
Make better decisions
Solve problems effectively and efficiently
Resolve conflicts effectively
Build better communication skills
Overcome procrastination
Overcome Insecurities
Other
3. From those selected above, list the 3 you believe are most important to address within this season.
4. Which of the following most interests you when considering Life & Leadership Coaching?
Achieving goals successfully
Overcoming roadblocks
Developing leadership skills
Character growth
Personal growth within life skills
Professional development and growth
Other
5. OTHER SPECIAL SERVICES: Which of the following interests you when considering Life & Leadership Coaching or other Special Services offered?
Starting your own business
Identifying your brand
Building your website
Creating your own book
Content Writing
Painting | Painting Workshop or Party
Other
SUBMIT
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