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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
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.
*
Discover my purpose
Build self awareness & confidence
Character development
Explore my gifts and strengths
Enjoy work-life harmony
Overcome Fears
Achieve goals and visions
Consistency in growth disciplines
Accountability in growth disciplines
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
Build leadership skills
Relational health & growth
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
Personal Character growth
Life-transitioning seamless
Relational Health & Growth
Work-Life Harmonious rhythms
Clarity of life's Purpose
Building new disciplines
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
Schedule an appointment
October 2026
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Mon
Tue
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Thu
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18
Sunday, October 18, 2026
19
Monday, October 19, 2026
20
Tuesday, October 20, 2026
21
Wednesday, October 21, 2026
22
Thursday, October 22, 2026
23
Friday, October 23, 2026
24
Saturday, October 24, 2026
Week starting Sunday, October 18
Time zone: Coordinated Universal Time (UTC)
Online meeting
Wednesday, Oct 21
10:00 AM - 11:00 AM
11:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 2:00 PM
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