You are reading a page printed from www.jeffbalin.com, (c) Balin Professional Coaching. To see what coaching can do for you, contact Jeff about a free assessment and consultation: email jeffbalin@shaw.ca or call 604.677.6743.

Balin Professional Coaching - Building Organizational Capacity through Leadership Support

"Jeff helped me better undstand my unique talents and how to apply them for greatest impact, to realize my full potential as a human being."

 

—M. Rawding , Vice President

Getting started

Contact Jeff Balin:

Consultation Prep Form

Home

About Jeff Balin

Executive Coaching

Meeting Facilitation

Leadership Workshops

Social Change

Contact

Please feel free to complete this Consultation Prep Form . Use it for your own reference or send it to me as the basis of a free consultation. All personal information is confidential and treated appropriately.

Printable version of this form - requires free Adobe Reader.

* = required field

About you. . .

* Full Name
Name you prefer to be called
Location (City, Country)
* Phone (main)
Phone (other)
* Email
Occupation
How you found me

About your needs. . .

Briefly describe what you (or your group) are looking for
What are the top 3 things you (or your group) want to accomplish in the next 3 - 6 months?
Where do you (or your group) hope to see yourself a year from now?
What is the best possible outcome of engaging my services?
On a scale of 0 (low) to 10 (high), how important is this to you?
Where do you (or your group) get stuck?
What does it mean for you (or your group) to commit to yourself?
What would you look for from my services as a coach and/or facilitator?
What questions do you have for me at this point?

Top

This page printed from www.jeffbalin.com. (c) Balin Professional Coaching.