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

Who is your primary audience? *

What is the one message you have a burning desire to deliver? *

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

What are three things you believe Les can help you with in your speaking career? *

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? *

Have you been paid for speaking? *

Yes

No

If you have been paid for speaking, what is your normal rate per speech/event? *

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

Working directly with Les Brown requires a considerate investment of time and resources. Are you serious about committing to being coached by Les Brown? *

Yes

I'm not sure yet

Why do you think people will be excited about your message? *