Find a Coach

A personal coach can help you reach your goals and lead a more satisfying, purposeful life. Personal coaching is done by arrangement with a particular coach, so the goals for your relationship as well as fees and scheduling vary.

Fill out the form below to be connected with a Lifeforming Leadership Coach. Each client-coach matching request is reviewed personally by our office staff. The more information that you provide, the better the coach-client match we can make for you.

Your Contact Information

First Name:	Middle Initial:	Last Name:
Address:
Address Line Two:
City:	State/Province: Select State Alabama Alaska Alberta Arizona Arkansas Armed Forces Americas Armed Forces Europe, Mid East Armed Forces Pacific British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Island Northwest Territory Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Provence of Quebec Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory		Zip:
Country: United States Canada Afghanistan Albania Algeria American Samoa Andorra Antarctica Argentina Australia Austria Bahrain Belgium Brazil Bulgaria China Colombia Costa Rica Cote Divorce Czech Republic Denmark Dominica Dominican Republic Egypt France Gambia Germany Ghana Greece India Indonesia Ireland Israel Italy Jamaica Japan Jordan Korea, Republic Of Lithuania Luxembourg Malaysia Mexico Morocco Netherlands New Zealand Nigeria Norway Panama Peru Philippines Poland Portugal Puerto Rico Russian Federation Samoa Singapore Slovenia South Africa Spain Sweden Switzerland Syrian Arab Republic Trinidad and Tobago Turkey Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vietnam Virgin Islands (U.S.) Yugoslavia Zambia
Home Phone:	Work Phone:	Cell Phone:	Fax:
E-Mail
Business/Company Name:	Web site:

A Little About You

Primary DiSC Letter Please Select D I S C	Years in Vocation Please Select Less than a year 1 to 6 years 7 to 20 years More than 20 years
		(If known)
Vocation	Myers-Briggs Type	Temperment Please Select Sanguine Melancholy Choleric Phlegmatic
(If known) Motivational Gift: Perceiver Server Teacher Exhorter Giver Administrator Mercy

Things you might like to work on with a coach
(check no more than 3)

Devotions & Spiritual Disciplines Organizing Your Life Priorities/Leading a Balanced Life Life Purpose & Self Discovery Burnout Practical Leadership Skills Walking Through Transition Developing Other Leaders Communication Skills Understanding My Gifting Perspective on Ministry Challenges Coaching/Mentoring Skills

Financial Stewardship Marriage Family or Child Rearing Relationship or Singleness Issues Developing Friendships with Peers Nutrition, Diet, Exercise, etc. Personal Evangelism Job/Career Change Business or Entrepreneurial Activities Leaving a Legacy Other:

Your Coach Preferences
(Attributes you'd prefer in your coach, we will make every effort to find the coach that best meets these criteria, but we may refer you to a coach who does not meet every criteria exactly. You can leave this section blank.)

Coaching Method Please Select Over the Phone In Person Either Both	Primary Coaching Expertise Please Select Personal Business Either Both	Geographic Location Please Select Northeast West South Midwest Southwest Central Any
Age Range Please Select 25 - 35 years old 36 - 45 years old 46 - 55 years old 56 - 65 years old older than 66 years Any	Gender Please Select Male Female Either	Race Please Select Caucasian African American Latino Asian Native American Any
Status Please Select Married Single ReMarried Divorced Widowed Any	Children Please Select Coach has Children Coach doesn't have Children Either	Fee Range Please Select Less than $100 per month $100 - $149 per month $150 - $199 per month $200 - $400 per month More than $400 per month Sliding Scale Other

Coach's Expertise Areas
(Please select up to 4 areas you would like your coach to have experience in.)

Home	Church	Government
Marriage	Pastoral	Local
Family	Small Groups	National
Children	Counseling	International
Divorce	Administration	Other
Other	Other
Education	Media, Arts & Entertainment	Business & Finance
Educator	Communication Studies	Executive
Administrator	Public Relations	Management
Elementary Students	Drama	Career Growth
High School Students	TV and/or Film	Human Resources
College Students	Journalism/News Media	Small Business
Graduate Students	Writing	Counseling
Other	Other	Other
Relationships	Professional Service Providers	Health & Wellness
Conflict Resolution/Mediation	Architect	Chronic Illness
Counseling	Doctor	Nutrition
Marriage	Lawyer	Stress Management
Anger Management	Realtor	Weight Management
Other	Other	Other

 

 

© 2007-2010 Lifeforming Coaching