Questionnaire: Tell Me About Your Coaching Goals

Website / URL

Home Address

Address Line 1

City

State / Province / Region

Postal Code

Country

No one will see your address but me (Ellory)

Tell Me About Your Business

Please choose the option that best fits *

I haven’t started my business yet
I have started my business but I’m not yet generating revenue
I’ve started my business and am generating revenue

Why are you interested in hiring me (Ellory) as your coach? *

If your coaching experience is successful, how would you want your life to be different a year from now? *

What is the biggest challenge you're facing today? What are you struggling with? *

This time next year, if you could be doing whatever work you wanted, wherever you wanted to do it, what would you be doing and where would you be doing it? *

How will you judge the failure or success of your coaching experience? *

What are the top 3 things you hope to get out of your coaching time? *

What are at least 3 things you’d like to CHANGE about yourself or your business during your coaching time? *

Tell me about your business. If you haven't yet started, tell me about your vision. *

Have you ever worked with a personal or business coach before? *

Yes
No

Do you want to join my email list for entrepreneurs? *

Yes
No

Acceptance of Terms *

Yes, I have both read and agree to the terms and conditions listed here.

Once you submit your application, you'll get an email from me with a link to schedule a time to review your answers and see if we're a good match to work together.