Coaching by Susanna Application Form
Please complete this form prior to our call.
Name
Email
Tell me a bit about your current situation (what you do, what's not been working, what have you tried).
Why is this a priority for you now?
If you don’t resolve this issue or meet your goal(s), how will this impact you?
What are you currently doing, if anything, to address this challenge?
I'm actively working on getting promoted/interviewing
I've tried courses and self development approaches
I am or have recently worked with a coach or therapist
I haven't started yet
If you could wave a magic wand, where would you like to be in 6 months time from a career perspective?
In my ideal dream job! A bigger/higher paying role
On my way to my next career move
Feeling happy and more aligned in myself
I'm happy where I am today
Other
Assuming I can help you when are you looking to get started?
ASAP
With the right program within the month
I am not sure, I am in the discovery phase, maybe in a few months
On a scale of 1-10 how urgent is it to achieve your vision in the next 6 months?
1
2
3
4
5
6
7
8
9
10
Have you worked with a coach before?
Yes
No
I believe in being open and transparent. I have offerings ranging from £500 to £5000. If there is a fit I can help you get to your desired job/promotion, whilst feeling fulfilled and balanced in your life, are you in a position to invest in yourself financially and timewise at this time?
Yes I am in a position to invest in myself financially and timewise now
Maybe within a months time
Now is not the best time, maybe in 3 or more months
This isn't a priority at this time
It's important that these calls are conducted in a quiet setting, with good WIFI. Due to the volume of calls on my calendar I require confirmation for the meeting or at least 24 hours notice to reschedule. Can you commit to 100% being able to join this call at this time?
Yes I will 100% be there in a quiet focused setting
No I can't (please select a new time)
Is there anything else I should be aware of that would help me understand you or your goals?
Submit
