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Question 1 of 22
First and Last Name:
Question 2 of 22
Question 3 of 22
Business Name or Career Title and Position
Question 4 of 22
Website (if not applicable, type in NA)
Question 5 of 22
Instagram and other social media handles/usernames:
Question 6 of 22
Please briefly outline any issues you would like to deal with and what you hope to achieve in the coaching setting:
Answer the following to let Coach Mandy get to know a bit better...
Question 8 of 22
I would describe myself as:
Question 9 of 22
The three things that I like most about my life/situation are:
Question 10 of 22
If I could change three things about my life/situation, they would be:
Question 11 of 22
My three greatest accomplishments so far are:
Question 12 of 22
Some of my hobbies/interests are:
Question 13 of 22
The one thing I would like most to accomplish (but haven't yet) is:
Question 14 of 22
The one thing I wish I could change in the short-term is:
Question 15 of 22
I think that the most important thing in life is:
Question 16 of 22
I am interested in working with a life and leadership coach because:
Question 17 of 22
I think Coach Mandy is the coach for me because:
Question 18 of 22
How did you hear about Coach Mandy?
Question 19 of 22
If you were referred, please let us know who so Mandy can thank them. (If not applicable, type in NA)
Question 21 of 22
Are you ready and able to invest in coaching for 6 months? Here are your payment options: *
3 months of Speaker Coaching: 1 Payment of $4,000.00
3 months of Speaker Coaching: 3 Monthly Payments of $1,500.00
6 months of Executive Level Leadership Coaching with full RAYMA Foundations™ Curriculum: 1 Payment of $5,000.00
6 months of Executive Level Leadership Coaching with full RAYMA Foundations™ Curriculum: 6 Monthly Payments of $1,000.00
3 Month Basic Life & Leadership Coaching Package: 1 monthly 60-minute coaching call only for 3 Monthly Payments of $375.00.
No, I'm not ready to invest in myself at this level right now - but I am interested in working with you somehow.
I have some questions, but yes I am ready and able to invest in coaching with you!
Question 22 of 22
Choose the month that you would like to ideally start your coaching sessions with Mandy: