Click the button below to start.
Question 1 of 22
First and Last Name:
Question 2 of 22
Email address:
Question 3 of 22
Business Name or Career Title and Position
Question 4 of 22
Website (if not applicable, type in NA)
Question 5 of 22
Instagram and other social media handles/usernames:
Question 6 of 22
Please briefly outline any issues you would like to deal with and what you hope to achieve in the coaching setting:
Issue #1:
Issue #2:
Issue #3:
Answer the following to let Coach Raychel get to know a bit better...
Question 8 of 22
I would describe myself as:
Question 9 of 22
The three things that I like most about my life/situation are:
Question 10 of 22
If I could change three things about my life/situation, they would be:
Question 11 of 22
My three greatest accomplishments so far are:
Question 12 of 22
Some of my hobbies/interests are:
Question 13 of 22
The one thing I would like most to accomplish (but haven't yet) is:
Question 14 of 22
The one thing I wish I could change in the short-term is:
Question 15 of 22
I think that the most important thing in life is:
Question 16 of 22
I am interested in working with a life and leadership coach because:
Question 17 of 22
I think Coach Raychel is the coach for me because:
Question 18 of 22
How did you hear about Coach Raychel?
Instagram
Facebook
Podcast
raychelperman.com website/Google
raymateam.com website/Google
Referral
Question 19 of 22
If you were referred, please let us know who so Raychel can thank them. (If not applicable, type in NA)
Question 21 of 22
Are you ready and able to invest in coaching for 6 months? Here are your payment options: *
3 months of Business Coaching: 1 Payment of $4,000.00
3 months of Business Coaching: 3 Monthly Payments of $1,500.00
6 months of Leadership Coaching - 1 Payment of $6,000.00
6 months of Leadership Coaching - 6 Monthly Payments of $1,000.00
Join the waitlist for the Basic Life & Leadership Coaching Package - 1 monthly 60-minute coaching call only for 3 Monthly Payments of $375.00.
1 60-minute Session for $425.00
The company I work for has a negotiated rate contract with you and I'm ready to start using the sessions from them.
No, I'm not ready to invest in myself at this level right now - but I am interested in working with you somehow.
I have some questions, but yes I am ready and able to invest in coaching with you!
Question 22 of 22
Choose the month that you would like to ideally start your six month coaching sessions with Raychel:
January
February
March
April
May
June
July
August
September
October
November
December