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Name *

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Job Title *

How long have you been at your current organization? *

Industry

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I’m interested in the following offerings: [choose all that apply]

One-to-one coaching services
Team coaching services
Current online courses being offered
Additional online courses The Brilliance Lab could offer
Tailored group workshops
Resume review and feedback
LinkedIn profile review and feedback
Current tools and templates
Something else (please describe - 400 characters)
Choice 13

When would you like to start coaching?

ASAP
Within the next month
Within the next 3 months
Not sure

Have you received professional coaching before?

If you have received Professional coaching in the past, please share which aspects of your previous coaching experience worked well for you, as well as any aspects you wish had been different.*

experience Professional find

Please check the top 3 topics you’re most interested in exploring with a professional coach.

Impostor Syndrome
Feeling Unqualified or Underqualified
Feeling overqualified
Career Transition
Job Negotiation / Seeking Promotion
Work Life Balance
Building Confidence
DEI
Effective Communication
Leadership Challenges
Giving Feedback/ Difficult Conversations
Performance Improvement
Other

Please complete the following sentence: "My main goal for this coaching experience is to…."

Briefly, where in your career do you need support? In what specific area(s) are you struggling? *

Who is sponsoring your coaching?

100% organization
50% out-of-pocket / 50% organization
100% out-of-pocket
Other

Where did you find TheBrillianceLab.net?

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