Your Name (required)
Your Email (required)
Website
Contact Phone Number
Current Situation
Desired Goal
What attracts you to the Round Table?
Tell me about what you hope to accomplish.
What are the obstacles that have kept you from achieving your goals before now?
Have you ever participated in group coaching before? If so, please share your experience.
The Round Table is an intimate setting. What special qualities do you personally bring to the group?
What results would demonstrate to you that the Round Table was successful?
Are you available for group coaching calls on Monday evenings at 6 PM PST / 8 PM CST? Yes No
Are you willing to make a commitment to the Round Table for a period of 3 months? Yes No
