GETTING STARTED AT - Teresia LaRocque and Associates Coaching

Today is the First Day of the Rest of Your Life - What a Great Day to Begin!

We look forward to exploring with you what your personal and professional goals are at this time. We at TLC Teresia LaRocque Coaching and Associates offer a variety of different programs to best serve our clients' needs. We make it a priority to make sure you are matched up with the best program and/or coach to meet your personal and professional goals.

If you believe having a coach will work for you, contact us at consultation@teresia.com, or fill out the
form below to book your consulation.

You can explain what you are up against and what you want to achieve. We will let you know if we can help and we will suggest an initial strategy or direction.

No sales pitch will be made as there is no need to sell the service. Coaching is not something anyone can sell you on, it's something you invest in because you want it and you instinctively know that it will benefit you.

Coaching Consultation Questionnaire
If you would like to schedule a consultation please fill out the following form. It does seem long but the more we know about you the better we will be able to support you.

When we have received your request, we will contact you to set up a time.

Personal Information
Name: *required
Company:
Address:
Postal Code
Contact Phone Number *required
Fax
Cellular
Email *required
How did you find our web site?	Please type here.
What about the website made you fill in this form?	Please type here.
Do you wish to request a specific coach, if so please provide their name and why you feel they would be the right coach for you?	Please type here.
What do you do for a living?
How long have you been doing this?
What do you like about it?
What do you dislike about it?
About Coaching:
Have you had a coach before? NO	Yes, No
If YES When:
If YES, what worked?
If YES, what didn't work?
If NO, Why are you considering a coach now?
If you were to work with a coach what are the top 3 things you want to accomplish in the next 6-12 months?	Please type here.
Blocks: Things that have kept you from achieving your full potential in the past	Please list 5 blocks.
Description Why:	Describe how they blocked you.
What are you looking for from a coach? Anything else?
What is your biggest motivation for having a coach?
How committed are you to achieving your goals? Please enter a number in the box from 1 to 10. (1 being low, and 10 is high)
How may you sabotage the coaching relationship?
When would you like to start coaching?
Where do you see yourself in a year from now?
5 years?
What are the biggest challenges for you?
What are your income goals for the next few years?
What was your income in the past year?
What is it worth to you if you achieve your biggest goals in the coming year?
If you see value in a coaching program that would enable you to achieve your biggest goals in the next 12-36 months, what would you invest in it monthly?
Other Comments:

" Massive action creates results."

TLC 4 C's for Success:

Clarity - clarity of exactly what you want to create. Clarity is power!
Commitment - you can only tell commitment by action
Consistency - when we incorporate new thoughts, beliefs, or actions we must do it on a consistent basis until it becomes a part of who we are.
Coaching (my favourite :) - it is amazing what we can do when we have proper support system!

How coachable are you? Take the Coachability Index Quiz here.