Your Firstname *:
Your Lastname*:
Your Email*:
Phone*: +(country code) xxx xxx xxxx
City*:
I would like to participate as a... COACH - you will be interviewed for our webcast and/or to lead the movement in your area COACHING CLIENT - you want to be a coaching client. You will experience a transformation by being coached on the webcast CONTRIBUTOR - you have a deeply emotional story or a fascinating view on coaching that is worth sharing in a webcast interview
Tell us more about your coaching experience and your methods:
Which dates/times of the day are you available for an interview?
Your website:
Why would you like to be interviewed? Tell us more about your motivation:
Which challenge would you like to overcome? In which situations does it appear and how does it bother you?
How strong do you experience this challenge in daily life? (Write a number between 1 to 10) 1- Almost no challenge | 10 - Very strong challenge
How motivated are you to overcome this challenge? (Write a number between 1 to 10) 1- I actually can kind of live on without overcoming this challenge | 10 - I must overcome this challenge at all cost
Why would you like to participate as a coaching client on the webcast and be coached? Tell us more about your motivation:
What would you like to share about coaching that should be featured in an interview? Which story do you want to tell?
(Optional) Could you post below a youtube link or a video download link where you explain your motivation? If you cannot record one now, can you send us any video link of you?
I am also interested in... (check one or more boxes): Spreading the word about this film to my clients and connectionsNetworking with organisations who I know that could benefit from collaborating in this projectGiving ideas on how to make the film betterBeing part of the production team as an adviserHave my name and details featured on the movie website so visitors can contact me regarding my servicesSchedule a call with the producers to discuss a larger partnershipInvite the crew to my office/company to filmHelp to organize screenings and events related to coaching in my areaInvest in the film as a sponsor and receive the investor information package on how to get a share of the film profits
Reffered: