Package Coaching Form

Simply fill out the form below and if at the end you still want to continue. Just go ahead and click submit. Troy will then get in touch with you to go over any questions you have about working with him and payment plans. Thank you!

Name

First Name

Last Name

Email Address

Best phone number to reach you at

What time zone are you in?

What is your goal or obstacle?

Where are you now? (in relation to your goal or overcoming your obstacle)

What do you feel is blocking you from achieving it?

Are you willing to invest in yourself?

What would you like to get out of working with me?

Brief history of relationships:

Brief history of career:

In what ways do you feel Powerful and Authentic

In what ways do you want to feel more Powerful and Authentic?

Please fill in the blank: "If I were more authentic and powerful, my life would be....."

Any comments or question?

Amazing! You did it! What is the best time to get in touch with you?