First Name
*
Last Name
*
Email
*
Phone
*
What prompted you to sign up for this session? Note: This questionnaire is to APPLY for and be considered as an candidate to explore one-on-one coaching for your personal growth and/or entrepreneurial journey with Lily Nava-Nicholson.
*
What do you want in your life, career or business? What are your SPECIFIC goals?
*
What beliefs do you have about yourself that pertains to your goals?
*
Do you believe in your ability to achieve your goals? Whether its a YES or NO, please be specific as to why you feel this way? *
*
Is there an area of your life, career or business that is DRAINING you? What is it? Please be specific.
*
Is there an area of your life, career or business that is GOING WELL? What is it? Please be specific.
*
What is the number one obstacle that you face, keeping you from achieving your goals. Please be specific and explain this in detail.
*
How committed are you to overcoming your obstacles/achieving your goals? 1- Not willing. 5- Very willing.
*
1
2
3
4
5
How willing are you to be open and honest with yourself and with your coach? 1- Not willing. 5- Very willing.
*
1
2
3
4
5
What do you want to get out of our discovery session? Note: Please be specific and keep in mind this session is not a coaching session, it is a call to explore where you are, what you have done and what you need in the immediate future for your life and/or business.
*
Are you interested in becoming a Self-Published Author? Have you started writing your book? Are you seeking an accountability coach for your book journey?
*
Have you ever hired a life or business coach to help you in any area of your life? If YES, what was your experience and why do you still need coaching? Please be specific!
*
When it comes to making an investment in yourself or your business, are you the sole decision-maker? Is there someone else that needs to be present on our call? Who is that person?
*
When we figure out the most direct path for you to achieve your goals and have success, and keeping in mind that transformation takes time and accountability, which OPTION best describes your mindset right now? NOTE: This is for serious action takers and decision-makers! I see you and know how to help you bridge the gap from your here to your there!
*
Option 1 - I am READY to invest in myself to improve the areas of my life and/or business that I described above!
Option 2 -I am NOT READY to invest in myself or to improve the areas of my life that I am struggling with.
Option 3- I am READY to explore investing in myself and would like to talk to Lily to see which of her services would be a great fit for me.
Thank you for completing the application!
Please hit submit at the bottom or your screen.