Your Name (required)

Your Email (required)

Your Phone number (required)

1) What is your "stage" (i.e. executive, C-Level, coaching, live or virtual)? What is your industry, product, or service?

2) How confident and comfortable are you with your current professional image? What are your strengths? What is your previous public speaking experience?

3) What do you feel is your biggest weakness, challenge or obstacle to being a more effective speaker with commanding presence? What transformation do you hope to accomplish through speech coaching?

4) Describe your typical audience(s), setting(s) and number of participants:

5) What are your long-term speaking goals or events within the next year and ongoing?

6) The learning style I like best is (check any that apply):

Intense Bootcamp in less timeSteady and substantial but not too intenseAllows lots of flexibility because my schedule is unpredictable

7) Do you prefer live-in-person coaching, or virtual coaching through video conferencing?

8) How soon do you want to start? Do you have any near-term speaking engagements?