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Tell Me About You

Thank you for your interest in Executive Coaching with Modern Agility Ltd

Executive Coaching is a customised collaboration that facilitates your growth in the way that you need, at the speed that suits you and in the style that is most effective for your personality. 

This short, 7 question survey will help me begin to understand your needs and will also help me determine if we would be a good fit. Anything you write here is seen by my eyes only and is kept absolutely confidential.

I will aim to respond to you via email in 1-2 business days.

I look forward to getting to know you and potentially working together!

- Brian


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* 1. Please Enter Your Basic Contact Information

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* 2. What are the reasons that made you decide to work with a coach at this point in your life?

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* 3. What are the specific reasons why you would like to work with me as a coach?

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* 4. What are the top 3 results you would like to achieve with coaching in the next 3 months?

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* 5. Please give any details of time pressures or other constraints in relation to these results?

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* 6. Which of the following ranges best fits your planned budget for coaching?

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* 7. Are there any other comments you would like to add?

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