We can’t wait to meet youInterested in working together? Fill out some info and we will be in touch. Name * First Name Last Name Email * Phone (###) ### #### What is your current employment status? * Self-employed full time Unemployed Full-time student Part-time student Full time employed Self-employed part-time What are your priority goals right now? * (Choose top 3) Manage / decrease stress Start a profitable business Grow an existing profitable business Develop personal clarity for your life Increase self-confidence Other If you chose "Other", please explain here What would accomplishing these three top priority goals mean to you? * What are your largest personal challenges keeping you from being successful? * Lack of focus Lack of clarity Procrastination Indecisiveness Fear of Failure Low self confidence Trouble goal setting Lack of accountability Lack of support What would your life look like if you didn't overcome these top personal challenges? * What have you done to improve your top personal challenges? * What perceptions (positive and/or negative) do you have about mindset coaching? How did you hear about us? Family / Friend Instagram LinkedIn Other Thank you! Coaching Discovery Form