Questionnaire: One-on-One Coaching Session With Skip La Cour

Full Name

Your Age

Your Email

Telephone Number

Time Zone

What do you most want to change today?

Have you tried to change this before?

What have you attempted in the past that didn't work?

Why do you think it didn't work?

On a scale of 0-10, how important is it for you to achieve change today?

What other areas of your life do you want to change (if any)?


Skip La Cour will be contacting you within 48 hours.

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