Your Name (required)

Your Email (required)

Phone Number

Your Website

What do you hope a coach will help do for you?
Clarify your career/work goals?Improve your current work situation?Make a "graceful and productive" exit from work?Work on stress reduction and self careReduce obstacles and barriers to moving ahead in your personal pursuitsAll of the above

How long have you been in the work force?
Less than a year1-3 years3-5 years5-10 years10 or more years

In a few words explain what your desired outcome
from a coaching partnership would be.

In a few sentences as possible tell me about you, such as
who you are, who you work with, and what you do.

If you could project out 1 year, what would be your
ideal situation?.

What current challenges do you think may be preventing you
from achieving your goals and desired outcome?.

Why have you specifically decided to reach out to Mary?.

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