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:

1. One Chapter from the HLP Life Planning Workbook
2. Two Audio files on Priority Management
3. 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.
First Name:
 Email:
Last Name:
 Phone:

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 - $997 per month*
            Weekly Coaching Call, 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 - $797 per month*
            Three Coaching Calls 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 - $597 per month*
            Weekly Coaching Calls, 20-30 minutes in length.
            Set appointment time required

            * 6-month minimum commitment required.
6. Your Income level:
   $100-250K      $250-500K        $1-2M       $2M+  

7.
Your Biggest Challenges:    (please check all that apply)
   Staying Focused     Delegating 
   Staying Organized     I've Hit a Plateau
   Motivation     My Work/Life Balance 
   Managing Time Well    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    Clarity and Direction
   Ability to Lead a High-
          Spirited Team		    Having More Free Time
   Ability to Hire Top Performers    Simplifying My Life
   Focusing My Strengths
    Become a Better Listener 
   Staying Focused     Define My Obstacles Better
   Develop Better Structure
          and Systems		    Create an Auto-Pilot
          Business
   Create a Company Worthy of Other's Commitment

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., Tues, Wed., Thurs., Friday)
    
    Time slots you're available on these days:
    







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     Listen to overview of      VIP Program from
     John (.ppt 9MB )