Please tell me more about you Please allow 15 minutes or more to answer these questions. 1:1 Coaching Questionnaire First Name * Last Name * Email * Phone * Website/URL * Please list your main social media handles * In what City / State / Country do you live? * Which Coaching option are you interested in? 'ACTIVATE' - Online 90 minute session ($1,000) 'ELEVATE' - Face to Face 3 hours approx ($2,700) 'EMBRACE' - Spend the Day with Me 8 hours approx ($6,000) 'FREQUENCY' - 6 x 90 minute sessions ($5,400) 'NIRVANA' - My Iconic White Glove Bespoke Program - 6 months ($60,000) or 12 months ($120,000) How do you know about Pauline? Referral Heard you speak Social Media Read your book Purchased your product Other If Other - Please specify. What is your profession? * Are you happy in your current profession? * Yes No What are your Professional Goals? * Do you have a Dream? Would you care to share it? * If Other - Please specify. What are your darkest fears? * Why would you like to be coached / mentored by Pauline Nguyen? * List any relevant assessments you have recently had that could be provided so that Pauline can understand you better. * How old are you? * Have you ever had a coach / mentor before? * Yes No Who was your coach / coaches? In what areas were you coached? Pauline receives hundreds of requests for mentoring every year. There are simply not enough hours in the day for her to coach / mentor everyone so she must be selective with whom she works. Why should she work with you? * How old do you feel? * How soon would you like to get started? * In order of importance to you, order the following human needs from 1-6. Significance Certainty Variety Growth Love & Connection Contribution * In order of importance, which best describes you? Order the following traits from 1-4. Determined and Driven, Spontaneous and Carefree, Skeptical and Analytical, Always put the needs of others first * What do you want to experience in LIFE? * How do you want to GROW? * What do you want to CONTRIBUTE? * Who is the person you dream of becoming? What does this new version of feel like? * What are your greatest desires? * What do you think is holding you back? * What is your reason for wanting a coach / mentor? * Developmental work Speaking / Communication / Personal Brand Spiritual Development Other If you are human, leave this field blank. Submit