Application to work with Life-Work Coach
Please answer these questions as best as you can. After I review this background information, we'll schedule a brief phone call to determine if we are a good fit.
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
Describe your biggest challenges / concerns with your Life-Work Balance
What results would you expect to get working with me?
Why are you seeking support now?
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