Influence & Impact Strategy Session Application (Valued at $195)

Thank you for your interest in applying for a 30 minute call with Dr. Carol Parker Walsh to explore your challenges with your confidence, image, and personal brand. Due to the limited number of appointments available per month only qualified applicants will be contacted to schedule a call.  Please note that these appointments are reserved for those who are actively seeking coaching and ready to commit to the solutions offered.
NOTE: On the call we'll discuss your current situation, desired outcome, pressing challenges and an action step to move you forward. 
Apply Now
 
Full Name: *

First & Last Name
 
Email: *

 
Phone Number (best number to reach you): *

 
How did you here about me? *

Please be specific
 
Ok, now let's begin!

 
Are you seeking help for personal or professional reasons? *


 
What are your 3 greatest challenges? *

Are they related to your confidence level, image, brand, etc. Be specific.
 
So now, let's talk about what you do?

 
Describe your current business. *

For example, do you work full time, run your own business full time, retired, etc.
 
What's your current goal, vision, or dream you want to achieve NOW or in the next 30, 60, or 90 days? *

Why are you seeking to coach with me?
 
What are you currently doing or have done in the past to achieve your goals? *

What's worked? What hasn't? What challenges have kept you from reaching your desired goals?
 
You're doing great! Keep going!

 
On a scale of 1-10, how confident are you with your presentation/communication skills? *

Are you confident on stage? Have a killer talk that converts? Effective in meetings or at networking events?










 
How important is it for you to get your challenges solved IMMEDIATELY? *

 
If you were given proven strategies to solve your challenges how valuable would that be to you? *

How would you current situation change? Describe the benefits?
 
Are you ready and willing to commit the time energy and financial resources to achieving your desired results? *

If you do not have the time, willingness, or financial resources at this time then STOP this application and please go to my Learning Annex for a variety of resources that may be able to assist you at http://evolvingyourimage.com/learning-annex-courses-now-available/ or refer to my Blog at http://evolvingyourimage.com/blog/

 
See, that wasn't so bad.  Now, congratulate yourself for taking the first steps toward achieving your goals!

Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform