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Balin Professional Coaching - Building Organizational Capacity through Leadership Support

"I feel the work I've done with Jeff is extremely powerful. Jeff is a very talented and knowledgeable coach. His commitment to his client's development, goals and success is very evident. . . The return on my investment in this short period of time has been more than expected. "

—M. Sidler , Director, American Express

Contact Jeff Balin:

Consultation Prep Form

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.

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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?

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

Contact Jeff Balin:

Consultation Prep Form

About you. . .

About your needs. . .