Complimentary Coaching Session

Thank you for your interest in a complimentary consultation. Be prepared to have a candid conversation during our meeting.

Below are several questions and areas we will discuss. To help facilitate our time together, please fill out this questionnaire as best you can. Be specific and vivid in your answers. Vague goals get vague results.

When you are finished, PRESS the CLICK TO SEND button. Karl Bimshas Consulting will review your responses and get in touch with you shortly.

What’s the goal you could achieve that would make a BIG difference to you?
If you could have MORE of one thing right now, what would it be?
What are the three biggest things you are tolerating in your life?
If you could change one thing in your life, what would it be?
What would you most like to be acknowledged for?
Which of the following ways do you “sabotage” yourself?
Bottom line, what do you want, or what do you want to do?
What does that look like? (Can you visualize it yet?)
How will you know you’ve achieved it? (This is a success metric.)
Think about where you are now. Are you heading in the right direction?
What might be in the way?
Learning Style
If known, what is your preferred learning style?
- Information (Read / Review)
- Action (Trial and Error)
- People (Conversations)
Name*
First Last
Email*
Phone
OPTIONAL
Address
OPTIONAL: Please provide a mailing address where supplemental information can be sent. If you don't want additional information, please include your zip code for demographic information.

Street Address City State ZIP Code
Communication Preferences
Name
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Complimentary Coaching Session

Complimentary Coaching Session

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