Application for Balance Breakthrough Session
Please answer these questions as best as you can. After I review this background information, we'll schedule your Complementary Balance Breakthrough Session!
Best phone number to call during working hours
Current Work Situation (pick the option that best describes)
Not employed, but looking for work
Not employed and not looking for work
Number of Children
Which TWO of the following BEST describes your current situation?
Primary Intimate Relationship
If you could solve ONE Life-Work Balance issue today, what would that be?
How committed are you to making the necessary changes to improve your Life-Work Balance?
Scale of 1 - 10, with 10 being the highest level of commitment.
Have you ever worked with a Coach / Mentor before?
What results did you get / not get?
Do Not Fill This Out