Preperation form to be completed prior to call.
Click the button below to start.
Question 1 of 12
What is your first and last name?
Question 2 of 12
What is your email and mobile no.?
Question 3 of 12
How did you hear about me and my 12 week program?
Question 4 of 12
Would you prefer zoom or phone?
Zoom
Phone
Question 5 of 12
What is currently your biggest frustration and challenge?
(This questions relates to not only your child but family life, your own health etc..)
Question 6 of 12
What are you hoping to achieve or get out of the 12 week program?
Question 7 of 12
Are there any obstacles to you reaching this goal?
Question 8 of 12
Briefly describe your current lifestyle i.e work, number of kids, committments, additional challenges etc...
Question 9 of 12
Right now.....
I have financial resources (or funding) available to build my capacity and invest in myself, my child & my family
I don't have the financial resources at this point
Question 10 of 12
If someone advised me to spend $1000-$2000 on a coaching program specific to my caring role I would....
Know that it would be a good investment in myself, my child & my family
Be a little cautious and want to learn more
Avoid at all costs because I need/want to do things as cheaply as possible
Question 11 of 12
I believe working with an experienced and qualified professional is a worthwhile investment
Yes
No
Question 12 of 12
I will call you at a time of your choice. Please commit to your appointment time by typing "Yes. I will answer my phone/zoom for our appointment" :)