1 2 3 Last Page Individual (for myself) Step into your greatness and Unleash Your Full Potential Which area do you need help with * Personal Career Business What led you to seek help today? (Please select all that apply) * I am grieving I am heart broken. I often feel depressed I feel stuck and confused with my life I frequently feel anxious or overwhelmed I'm unable to move past painful experiences. Family conflicts are wearing me down. Forgiving others or myself is hard for me. Confidence is something I struggle with. I find myself struggling with my weight. I am struggling with an addiction Financial challenges are a concern for me. Procrastination is holding me back. I'm not really sure what I'm struggling with. I want to improve myself but i dont know where to start ● Other + Other What are your primary goals for engaging in coaching? (Select all that apply) * Healing and forgiving my inner child Overcoming addictions Losing weight Building confidence Improving relationships Finding happiness Discovering purpose and meaning Addressing a specific challenge Overcoming procrastination+ Add New What are your expectations from your Helper? (Select all that apply) * Listen and support me Explore my past experiences Teach me new skills Guide me to set and achieve goals I don’t know yet+ Add New How do you prefer to communicate with your helper? * Mostly via Physical sessions Mostly via online sessions Both physical and online sessions Not sure yet (decide later)+ Add New How Did You Hear About Us? (Select all that apply) * Online Search Twitter TikTok Referral Article Newspaper+ Add New What led you to seek help today? (Please select all that apply) * I procrastinate a lot. I feel tired and overwhelmed. I am feeling anxious. I am not happy at work. I can’t seem to find a job. I struggle to concentrate at work. I am struggling to meet deadlines. I am confused about my career path. I struggle to relate with my workmates. I struggle to communicate with confidence. I am struggling to find time for myself outside of work. I have been working for some time, but I don’t see any progress.+ Add New What are your primary goals for engaging in coaching? (Select all that apply) * I want to find a job. I want to make more money. I want to beat procrastination. I want to change my career path. I want to be more productive at work. I want to establish a work-life balance. I want to improve my communication skills. I want to develop leadership skills. I want to enhance my networking abilities. I want to improve my job interview skills. I want to navigate a career transition. I want to set and achieve my career goals.+ Add New What are your expectations from your Helper? (Select all that apply) * Listen and support me Explore my past experiences Teach me new skills Guide me to set and achieve goals I don’t know yet+ Add New How do you prefer to communicate with your helper? * Mostly via online Mostly via Physical sessions Both physical and online sessions Not sure yet (decide later)+ Add New How Did You Hear About Us? (Select all that apply) * Online Search Facebook Instagram Twitter LinkedIn YouTube TikTok Referral Article Newspaper+ Add New What led you to seek help today? (Please select all that apply) * I do not have capital. My business is not growing. My team is not supporting me. I am struggling to find clients. I dont feel confident about my idea. My business is making me anxious. I am facing financial management issues. I am struggling to make important decisions. I have difficulty managing my time effectively. I dont know how to go about with legal requirements. I am struggling with marketing and increasing visibility. I feel overwhelmed by the demands of running my business. What are your primary goals for engaging in coaching? (Select all that apply) * I want to raise capital I want to make more sales I want to scale my business. I want to build a stronger team. I need to improve my work-life balance. I want to increase my business revenue. I want to reduce stress and avoid burnout. I want to manage my time more effectively. I want to create effective marketing strategies. I want to improve my financial management skills. I need to improve my leadership and team-building skills. What are your expectations from your Helper? (Select all that apply) * Listen and support me Explore my past experiences Teach me new skills Guide me to set and achieve goals I don’t know yet+ Add New How do you prefer to communicate with your helper? * Mostly via Physical sessions Mostly via online Both physical and online sessions Not sure yet (decide later) How Did You Hear About Us? 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