Group Coaching Interest

1. Default Section

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.

Question Title

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

Yes

Question Title

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

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Question Title

* 3. 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)

Question Title

* 4. How many weeks would you participate for?

4 weeks

6 weeks

8 weeks

12 weeks

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

Question Title

* 6. 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

Question Title

* 7. 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)

Question Title

* 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.

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)