I Can't Believe I Get Paid to Do This

Pre-consultation Questionnaire

To schedule a free consultation to see if coaching is right for you, please complete the brief form below. We will schedule a consultation for you with the coach best suited to meet your needs. Or call 877.880.9100 (toll free) or 678.248.3558 (in Atlanta).
If you just want to ask Stacey a question, click here. (No solicitations please)

Your Name:
Your E-mail Address:
City/State
Daytime phone
Your age
Best time of day between 9:00 AM and 5:00 PM (Eastern), Monday-Friday for the free consult (include your time zone)
How did you hear about us?
Are you currently employed? Yes No	If Yes, what is your current occupation?
If you're not currently employed, do you have enough money to live on for at least six months? Yes No
Which do you most need help with:	I want to determine what I want to do when I grow up I know what I want to accomplish and want help attaining it Health and wellness
What has prompted you to consider coaching at this time?
What would you like to accomplish through coaching: immediate and long-term goals?
Is there anything else you would like to tell me about yourself?
If you prefer to work with a particular coach, note that here. Otherwise, we will match you up with the coach who best meets your requirements.
Please indicate your monthly budget parameters for coaching. (Coaching fees are charged on a monthly basis ranging from $450-650/month for a minimum of 4 months.)

Wishing you happiness and success with your dreams.

Stacey Mayo

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