{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}
What is it costing you to keep going as is and NOT change what you are currently doing?{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
How will having a job you love with a clear path for career advancement change your life?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
What has been your biggest career challenge that you're looking to overcome?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
There are a lot of other career and leadership coaches out there. Why did you reach out to me in particular? Why are you interested in exploring working with me?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
Why is NOW the right time for you to hire a coach?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
Select the statement that best describes you and your situation right now:
-Please Choose-I have the financial resources and I'm ready to invest in coaching.I have minimal financial resources to invest in coaching right now and prefer to do things as cheaply as possible. I don't have any financial resources right now to invest in coaching.{"type":"select","name":"__generic","width":100,"value":"","size":"Normal","validation":"N1","validationMessage":"Please make a selection for this item.","options":"-Please Choose-\nI have the financial resources and I'm ready to invest in coaching.\nI have minimal financial resources to invest in coaching right now and prefer to do things as cheaply as possible. \nI don't have any financial resources right now to invest in coaching."}
How did you hear of me?
{"type":"text","name":"Source","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}
