Welcome to Coach Me, Les Brown!

Name *

Email address *

City and State

Phone number

Preferred contact method

How long have you known about/ followed Les Brown? *

0-5 Years	5-10 Years
10-20 Years	20 (+) Years

What area of life are you most interested in receiving coaching? *

What part of the Coach Me, Les Brown community do you find most interesting? *

Working directly with Les Brown	Being part of community of like minded individuals who can help me achieve my goals
I'm torn between the two!

What do you hope to gain from this coaching program? *

Have you participated in other coaching programs? *

Yes

No

Did you feel that the coaching you received was helpful? *

Yes

No

N/A

If you're comfortable in sharing, please tell us what other programs you've tried.

This program is not necessarily geared toward speaking, but of course we have options for speaker/ presenting training and can connect you to the best option for you! Are you currently a speaker/presenter?

Yes

No

Are you interested in becoming a speaker/presenter?

Yes

No

Are you currently or have you ever been part of another Les Brown community or platform? If yes, which one(s)? *

Please share some specific challenges or goals that you would like to have discussed in the Coach Me, Les Brown community.

Is there anything else, you'd like to share with us about your interest in the Coach Me, Les Brown community?

Would you prefer weekly or monthly sessions? *

Are you interested in participating the upcoming Greatness Challenge? *

Yes

Not sure yet

No, I'm not a fan of challenges

What is your annual budget for coaching/education and personal development?

Have you read/purchased Les Brown's latest book, You've Got to be Hungry? *This book will be required reading for the coaching community. *

Yes

No

No, but I plan to!

Financial	Personal relationships
Entrepreneurship	Mental clarity
Other Other