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

How long have you been a speaker? *

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

What is your primary message/keynote topic? *

Why are you interested in being coached by Les Brown? *

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.

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

Would you prefer weekly or monthly sessions? *

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

Working directly with Les Brown requires an investment of between $25,000 - $50,000 annually. Are you able to participate? *

Yes

No