Keith and Maura Leon's

    R-A-P-I-D   R-E-S-U-L-T-S       ACCELERATED COACHING PROGRAM

Your Dream Life Guaranteed!

APPLICATION FORM

Name
Email
Company
Homephone
Workphone
Address1
Address2
City
State
Zip
Country
Website Address
Age
Occupation
Education (formal and/or other)
Have you ever been coached before, and if yes, which program(s), and how would you describe your experience of the coaching you received?
What results do you want to achieve through coaching?
Are you ready and willing to do whatever it takes to achieve those results, including accepting one hundred percent responsibility for all of your experiences?
Have you seen the movie, The Secret?
What books, movies, seminars or mentors have supported you the most in your personal and professional development?

Do you have any questions about the coaching process, or is there anything else you would like us to know about you?


 

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Successful Communications, Inc.

Los Angeles, California 310-823-2661