Possibilities Institute

Thank you for your interest in coaching with Tameika!

We’d like to know a little bit about you, so that we can tailor our coaching to meet your needs.
Simply answer this brief Pre-Event Questionnaire and we will get back to you promptly.

Name

Age

Address (street address, city, state zip code)

Profession

Primary Contact Phone Number

Primary Contact Email

What are the three biggest changes you want to make in your life in the next 3 months?

What would you say are the biggest obstacles and/or challenges in making those changes?

How would your life be different it you were able to make those changes?

How much are you willing to invest to help make those changes?

What stage do you feel you are in?

Why does this stage best relate to you?

Why do you feel Tameika is the right coach for you?

How did you hear about The Possibilities Institute?