Application For Performance Analysis
Congratulations on applying for a Performance Analysis with Coach B! Please complete and submit the form below and it will be routed directly to our team for consideration. You will choose from a couple of convenient time slots and we'll go from there. Remember - Authenticity Matters! I am eager to chat with you. - Coach B
Current Role*
Executive Operator (C-Suite)
Senior Manager (Director, VP, SVP)
High-Potential Leadership Candidate
Manager Seeking To Advance
Part-time Business Owner
Full-time Business Owner
Full-Time Role (if P/T Biz Owner)
Have You Worked With A Coach Before?
Yes
No
Area(s) You Want To Work On (Choose 3 Max)
Effective Communication
Restoring Connection
Career/Work Harmony
Parenting Teens
Confidence
Other
Area (if Other)
What Isn't Working About The Area(s)?*
What Would a Breakthrough In This Area Look Like For You? *
How much are you willing to invest to have a breakthrough? *
$2,000-$2,999
$3,000-$3,999
$4,000+
Mental Check*
Exceptional
OK
Needs Work
Emotional Check*
Exceptional
OK
Needs Work
First Name*
Last Name*
Email*
Phone*
Facebook and/or LinkedIn Profile: (I'd love to connect with you if you're open to it! Please provide the actual link to your profile so that I can friend request the right person.
Submit