Thank you for contacting us about my Group Coaching. This is a great program if you desire to work side-by-side with others on your journey to transformation. We do have a limited spots available to ensure intimacy and success within the group.

To get to know you a little better and make sure group coaching is a right fit for you, please answer each question below and we’ll contact you with your next steps. Thank you!

Name *

First

Last

Email *

What City, State and Country do you live in? * Example: Chicago, IL, USA *

How did you find out about my coaching programs *

• From one of Sharise's events
• From a friend/family member
• Online search
• Email
• Ads
• Another one of Sharise's programs
• Other

What is your age? *

Interested in in-person or online program? *

• Online
• In-Person

Overall Life Fulfillment

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Relationships

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Health & Fitness

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Career/Work

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Finances/Wealth

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Time and Productivity

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Personal Growth and Development

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Sense of Contribution

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Spirituality

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Recreation

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Self-Care

Selected Value: 0

How you're feeling currently on a scale of 1-10, with 10 being the highest level of fulfillment.

Expectations of Group Coaching: In a group coaching session, you will be working alongside others learning and applying my LCA Leading Lady Solution to your life. For one-on-one, personalized care, I recommend my Private VIP coaching *

• I understand

Please check that you understand the expectations of group coaching

Do you feel comfortable sharing in a group setting and working with others in the group? *

• Yes
• No

Confidentiality Agreement: To build a safe and trusting environment, confidentiality is a must. Anything that is shared by members in the group is to stay private within the group. This confidentiality does not supersede the law and must never cover up a current or future threat to the health or well-being of another person. *

• I agree

Please check that you understand our confidentiality agreement

Submit

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