Home
About Us
Dr A’s Story
Sharon’s Story
Frequently Asked Questions
Client Survey
Services
Executive Coaching
Health Coaching
Team Coaching
Contact Us
Home
About Us
Dr A’s Story
Sharon’s Story
Frequently Asked Questions
Client Survey
Services
Executive Coaching
Health Coaching
Team Coaching
Contact Us
Client Survey
Answer the following questions to the best of your ability.
Your responses are confidential.
Then, contact us to arrange a risk-free coaching consultation.
Please enable JavaScript in your browser to complete this form.
Your Name
*
Email
*
Phone
*
Education Level
High school degree or equivalent
Some college
Associate degree
Bachelor degree
MBA
Masters degree
JD
MD
PhD, PsyD, EdD.
Career
Improve leadership skills
Better job
Deal with changes in the organization
Stress Reduction
Raise and promotion
Start own business
Increased productivity at work
Difficulty with boss or co-workers
Financial
Earn more money
Buy a home
Invest more regularly
Set up and follow a budget
Plan pre or postretirement finances
Reduce debt
Curtail overspending
Health
Lose weight - better eating habits
Reduce stress
Exercise more
Increase optimism
Sleep well
Reduce alcohol or nicotine intake
Begin a spiritual practice
More relaxation
More time with family
Relationships
Socialize more
Get closer to family members
Create a new personal relationship
More meaningful relationship with spouse
Transition
New Job
New position withing current organization
Medical Challenge
Retirement Planning
Major Financial Change
Other
Practice patience
Express more gratitude
Create a Vision
Become more disciplined
Lead a more spiritual life
Seek a mental health referral
Comments - describe your current employment situation
Name
Submit
