Communication Coaching

Intake Form

Thank you for your interest. I work in a limited-capacity, private format with professionals seeking measurable improvements in communication clarity and executive presence.

Step 1 of 11
Let's start with the basics.

All fields are required.

Step 2 of 11
How would you describe your current level of English fluency?

Select the option that best describes you.

Step 3 of 11
In what professional situations do you want clearer communication?

Select all that apply.

✓ Select one or more

Step 4 of 11
What specifically feels challenging or limiting right now?

Be as specific as you like.

Step 5 of 11
How is this impacting your work, confidence, or career progression?

Help me understand what's at stake for you.

Step 6 of 11
Why is it important for you to address this now?

What's making this the right moment to act?

Step 7 of 11
Have you worked with a communication coach, speech professional, or similar service before?

Select yes or no.

Step 8 of 11
What was helpful or unhelpful about that experience?

If you answered No, feel free to skip this and click Continue.

Step 9 of 11
What would a successful outcome from this work look like for you?

Paint a picture of success in your own words.

Step 10 of 11
How did you hear about me?

Referral, LinkedIn, search, social media — anything helps.

Step 11 of 11
I work in a private, premium format with limited availability. If invited to move forward, are you prepared to invest in a high-touch communication program?

Please answer honestly — this helps ensure we're the right fit for each other.

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