Private Client Application

Thank you for taking a few minutes to share some information to help me understand your coaching needs. Please look for my personal response in your inbox shortly after your answers are received.

*All answers will go directly to Missy Shopshire and will remain confidential

Name

First Name

Last Name

Phone

(###)

###

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What are your top 3-5 goals and aspirations in life/business?

What are your top priorities right now, both personally and professionally?

What challenges or obstacles are you currently facing that you would like to overcome?

How do you envision success, and what does it look like for you?

Have you worked with a coach before? If so, what was your experience like?