Complimentary Consultation

To learn how you can coach with Janis, please fill out the form below to register for a Complimentary Consultation. Once this form is completed and submitted, you will receive an email from our office with a link and instructions for scheduling your session with Janis.

Complete the form below and schedule your Complimentary Consultation

Full Name

Home Phone

Street Address

City

State

Zip

1. Why did you decide you wanted to speak with me?

2. What is your primary issue or obstacle?

3. What have you already tried?

4. What is your goal in this area in the next 6 months? …12 months?

5. What is the one thing you would like to change right now?

6. On a scale from 1 – 10, with 10 being the highest, how important is it for you to make these changes now?

7. If we could accomplish your goals now, what would that be worth to you?

8. What else would you like to share with me?

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