Coaching Application Form

Name *

First Name

Last Name

Phone *

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How did you hear about Well Placed? *

I'm already a client!

Friend/Family

Online/Social Media

I can't remember, sorry!

Which option are you considering? *

Single Session

Accountability 10 Session Package

Honestly, I'm not sure yet

What are you hoping to focus on in our session(s) *

You can select as many options as you like and we can discuss which are best to start with.

I want to be more productive at work

I want to manage my time better

I want better attention & focus

I want to work smarter, not more or faster

I want more efficient systems for getting my work done

I hope to create new routines & habits to make life easier

I want to simplify to reduce stress

I'm looking for more life/work balance

I want more time for friends &/or family

I want more time to focus on ME & my interests

I want to make room for creativity in my days

I want more happiness & joy in my life

I want to feel more gratitude for what I have

I understand that diving into coaching can make me feel vulnerable (that's normal!) but I really want to make some changes, and I'm going to step into this with an open mind. I accept full responsibility for my actions and emotions, knowing that this is a personal journey. Well Placed is my guide but I'm ultimately responsible for the outcome. *

Yes, I'm 100% in agreement & fully onboard!

Thanks for filling this in, Bree will connect by email shortly to arrange a time for our phone call. Chat soon! *

Great, talk soon!