Workmaze Career Consulting

To receive your complimentary call, please complete the below form to assist me in understanding you and your needs. If you feel uncomfortable answering any of these questions, or are not sure what to put, then please don’t – we can always go back to them later if we want to.

* Full Name

* Home Telephone

* Work Telephone

* Email

* What time of day and day of the week are the most convenient times for career coaching for you? Please list in order of preference.

* What is holding you back? What is your main obstacle at the moment?

* Why are you considering working with us?

* How will you know career coaching has been effective?

* In our first session of coaching it would be positive for you to feel that you are moving forward. What three short term goals could you accomplish in this time to achieve that?

* Are there any opportunities you are currently not making the most/anything of?

Score yourself, in terms of personal satisfaction with these areas of your life from 1 to 5 in the following areas (1 being the lowest and 5 being the highest).

	1	2	3	4	5
Relationships
Health
Career
Money
Recreation
Personal Development

* What else would you like us to know?

* Please upload your CV (MS Word Doc)

Complimentary Half Hour Call

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