Group Coaching Interest Survey

Thank you for taking the time to fill out this survey. Many stepmoms have asked to participate in group coaching and I would love to know what would work best.
It will take less than 2 minutes to fill out.
As a thank you for filling this out, at the end, there is a link to a Relationship Assessment tool that you can fill out.

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1. Would you be interested in participating in an online (on the telephone) group coaching for stepmoms?

Would you be interested in participating in an online (on the telephone) group coaching for stepmoms? Yes

2. If yes, what day of the week would work best for you?

If yes, what day of the week would work best for you? Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

3. What time of day works best for you? (Please add what time zone you are in the comment box)

What time of day works best for you? (Please add what time zone you are in the comment box) Morning

Afternoon

Evening

Other (please specify)

4. How many weeks would you participate for?

How many weeks would you participate for? 4 weeks

6 weeks

8 weeks

12 weeks

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5. What issue(s) would you like to discuss/work on during this group coaching?

What issue(s) would you like to discuss/work on during this group coaching?

6. How much would you be willing to pay for this service?

How much would you be willing to pay for this service? $20 a session

$25 a session

$30 a session

There is no price to save my marriage

7. Would you be interested in a 3 or 4 day retreat/workshop on how to be a successful stepmother?

Would you be interested in a 3 or 4 day retreat/workshop on how to be a successful stepmother? Yes

Maybe (send me more information)

8. If you wish to receive information about upcoming workshops, group coaching or retreats, please fill this in. This will be strictly used for the purpose of informing you of upcoming events.

If you wish to receive information about upcoming workshops, group coaching or retreats, please fill this in. This will be strictly used for the purpose of informing you of upcoming events. Name:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

Thank you for taking the time to fill out this questionnaire. All comments are confidential. You will only receive information about group coaching if you are interested in it.
As a thank you, you can take this fr*ee Relationship Assessment Tool at
http://coachingsteps.com/review/relationshipassessmenttool.php (cut and paste this link to a new browser)

Group Coaching Interest
Exit this survey

1. Default Section

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1. Would you be interested in participating in an online (on the telephone) group coaching for stepmoms?

2. If yes, what day of the week would work best for you?

3. What time of day works best for you? (Please add what time zone you are in the comment box)

4. How many weeks would you participate for?

*
5. What issue(s) would you like to discuss/work on during this group coaching?

6. How much would you be willing to pay for this service?

7. Would you be interested in a 3 or 4 day retreat/workshop on how to be a successful stepmother?

8. If you wish to receive information about upcoming workshops, group coaching or retreats, please fill this in. This will be strictly used for the purpose of informing you of upcoming events.

Group Coaching InterestExit this survey

1. Default Section

*1. Would you be interested in participating in an online (on the telephone) group coaching for stepmoms?

2. If yes, what day of the week would work best for you?

3. What time of day works best for you? (Please add what time zone you are in the comment box)

4. How many weeks would you participate for?

*5. What issue(s) would you like to discuss/work on during this group coaching?

6. How much would you be willing to pay for this service?

7. Would you be interested in a 3 or 4 day retreat/workshop on how to be a successful stepmother?

8. If you wish to receive information about upcoming workshops, group coaching or retreats, please fill this in. This will be strictly used for the purpose of informing you of upcoming events.

Group Coaching Interest
Exit this survey

*
1. Would you be interested in participating in an online (on the telephone) group coaching for stepmoms?

*
5. What issue(s) would you like to discuss/work on during this group coaching?