ambitious and balanced

Let me get to know you before we begin…

The below profile is an important first step in the process of creating a priority-first life. Try to answer the full profile in one sitting, if possible. Allow time to process, discover and dream. This form will be sent to me automatically and I will send a copy to you for your own records, once received.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Employer's Name

What is your job?

A sentence or two to describe what you do in your occupation.

Date of Birth

YYYY

Marital Status

Significant Other's Name and Children's Name (+ ages)

Reflection Questions

What should I know about you (keep this to just a paragraph)?

What secret dream do you have for your life? Something too exciting or scary to name.

Goals

The first step towards turning possibilities and dreams into realities is to declare specific goals. Each goals requires committed thought and action from you, as a client.

What do you want to achieve in this program?

What matters to you in this goal?

How will you know when you have achieved these goals?

How will achieving these impact your life, long-term?

Our Coaching Relationship

I want you to get the most out of our time! Tell me what you really need.

Is there anything you need from me, as your coach?