Coaching Questionnaire

My program is a unique blend of coaching, mentoring and consulting to get you out of your own way and into the results you crave. My clients are ready to do whatever it takes to grow their businesses so that they show up bigger in the world and earn in direct proportion to their passion. My clients have made a non-negotiable decision to making an investment that will lead to the results they need to grow their life and business. If (AND ONLY IF) I am talking to you, complete the form below and someone from our office will contact you to schedule your 20-minute Get Acquainted session.
Serious Inquiries only.

**Completing the form in its entirety will guarantee a call back from our office.**


Secondary Phone
Which Client Profile Describes You?

 Your Last 12 Months Business Income :

Best Time to Contact (include time zone):

Brief description of your business:

Website (if you have one)

How did you hear about Mentor & Coach Michelle?

Why are you Looking for a Coach?

What is your biggest challenge right now?

I’m ready to invest in myself?

What was the last investment that you made in yourself or your business (no computers or material possessions)?

What coaches/mentors have you worked with in the past?

What are your top 3 to 5 goals for the next 12 months?

What obstacles challenges and struggles come up for you on a regular basis?

How many clients do you have?

How many clients do you want/need to grow your business?

What would you like to see happen as a result of working together?

What difference would that make for you once we achieve this together?

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