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Ready to Make The Big Leap? Congratulations!

Simply complete this online form, and you're on your way!

And just for completing this form you'll receive FREE the Coaching Starter Kit which includes:

  • One Chapter from the HLP Life Planning Workbook
  • Two Audio files on Priority Management
  • One 20-Minute Coaching call

PLEASE NOTE: The information you provide us will never be used or sold in any way for distribution or unsolicited mail.

1.

 
     
2. Your Career Situation:  (please check one)
 
  • Entrepreneur
  • Sales Professional
  • Decision Making Executive
  • Sales Manager
  • Manager
  • Other Professional
     
3. What Industry:
 
  • Financial Services
  • Real Estate
  • Legal
  • Medical Services
  • Construction
  • Other:
     
4. What type of Coaching do you see for yourself:
 
  • Life Coaching
  • Personal Coaching
  • Sales Coaching
  • Career Coaching
  • Business/Executive Coaching
     
5. What Coaching Program do you want to sign up for:
  **Any Program paid in full for first 6 months, 7% Discount Applies**
 
  • I need to get jump started with my coaching! I want the Accelerated Coaching Program
             - $995 per month* Weekly Coaching Session four per month, 45-60 minutes in length. Set appointment time
             required.
  • I know coaching will help me get to my goals faster. I want the Standard Coaching Program
             - $795 per month* Three Coaching Sessions per month, 45-60 minutes in length. Set
             appointment time required
  • I want to try coaching to help me with my career. I want the Budget Coaching Program
             - $595 per month* Two Coaching Sessions per month, 45-60 minutes in length. Set appointment time
             required
     
6. Your Income level:
  $100-250K    $250-500K    $1-2M    $2M+   
     
7. Your Biggest Challenges: (please check all that apply)
 
  • Staying Focused
  • Staying Organized
  • Motivation
  • Managing Time Well

  • Delegating
  • I’ve Hit a Plateau
  • My Work/Life Balance
  • Listening/Communicating
     
8. What capabilities or "emphasis" would you like your coaching program to provide you?: (please check all that apply)
 
  • Refining My Sales Skills
  • Ability to Lead a High-Spirited Team
  • Ability to Hire Top Performers
  • Focusing My Strengths
  • Staying Focused
  • Develop Better Structure and Systems
  • Create a Company Worthy of Other’s
         Commitment

  • Clarity and Direction
  • Having More Free Time
  • Simplifying My Life
  • Become a Better Listener
  • Define My Obstacles Better
  • Create an Auto-Pilot Business
     
9. Coaching calls are set up in a weekly routine. What day and times are optimal for you to have your coaching calls?:
 
Days you're available:
  Mon.     Tue.     Wed.     Thu.     Fri.    
 
Time slots you're available on these days:
 
     

 

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We will be happy to hear from you, no matter the subject. Ready to Make The Big Leap? Simply complete the online form, and you're on your way!

Phone: +1.714.375.6624

Email: vipcoach@highlevelperformance.com


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