Are You Ready To Be Coached?

The decision to work with a coach can change your life, AND it takes a significant commitment to yourself to gain the maximum benefit. If you're thinking about hiring a coach and want to discuss if and how coaching could benefit you at this time, complete this assessment for a free coaching consultation with Manya.

I have the desire to invest time, energy, and money in my development.

TrueFalse

I can make and keep appointments with myself.

YesNoSometimes

I am ready to go to the next level in my life.

YesNoMaybe

I am willing to address the issues and situations that may be holding me back.

YesNo

I have the patience to take consistent action toward my goals.

YesNo

I have adequate funds to pay for coaching/personal development and will not regret or suffer over thte fee.

TrueFalse

I am honest with myself and can 'tell it like it is' with my coach.

YesNo

What is the greatest problem or challenge you are facing?

How can I help you today? Please be specific:

Would you like a complimentary coaching consultation?

YesNo

If yes, when are you available for coaching during the daytime (Eastern time zone)?

Would you like me to contact you?

YesNo

Daytime phone number at which you can be reached (please specify your time zone):

Email address:

Your Name:
Your Email: