Congratulations!

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

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: