Linda Fields | 7M-Pact Fire Starters Mastermind

1. Full Name *

2. Email *

What is your best email for our coaching communications?

3. Where are you located?

City

State

Country

4. What is your website or company website? *

5. How are you listed on social media you use: fb, twitter, linked-in, youtube?

6. Phone *

What is your cell # for last minute updates or texts?

7. Date of birth

8. Describe briefly your role, job title and name of company. *

9. How did you hear about Linda Fields? *Mark all that apply

9. Other: Where did you hear about Linda Fields? *

10. I am interested in Linda's teaching and coaching because: *

I want to develop and embrace my life calling.

I want to develop my career track.

I want to teach others and bring them along with me.

I want to grow as an entrepreneur.

I want to bring transformation to my city or region.

I would like to be a part of a group of certified coaches or trainers.

I am looking for community.

Other

Mark all that apply

10. Other: What area do you want Linda to teach and caoach you in?

12. I would like to increase my annual income to this amount over the next 3 years:

13. What activity currently generates 80% of my annual income? *

14. When I'm at my true best self as a leader in my business or profession, these things are true: *

What are you doing? Who are you with? What's happening? What is the effect on others?

15. What unfulfilled dream(s) do you have that you would like to tell me about? *

Just a few sentences here would be great! This is a safe place to share your dreams.

16. What are you most proud of in your life? (anything!) *

17. What obstacles would you like to overcome? *

List 1-3 and briefly describe areas that have held you back in the past.

18. What prompted you to make the decision to invest in your development with coaching? *

19. If you could tell me one thing you would like help with, what would it be? *

Think for a moment if there is one thing that would make a big difference for you now

20. What do I need to know about you in order to effectively Coach you? *

Confidential Pre-Coaching Application