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251 Woodford St.,
Portland, ME 04103
Phone: (207) 712-0015
Email: john@activatesuccess.org

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Initial Consultation Form

I look forward to speaking with you about your interest in my coaching and/or consultation services. I provide a no-charge initial consultation to determine your needs and to ensure that I have the skills to be of help to you. Please be aware that this initial meeting is not coaching and will not include any feedback or work on your problem.

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Hire Me to Speak

I look forward to speaking with you about your interest in hiring me to provide a keynote address or other engaging presentation at your next event. Please complete the form below if you would like to provide me with some initial information about the goals for the event. If you prefer, you can also email me directly at: john@activatesuccess.org.



Thank you for taking the time to complete this questionnaire! Your answers will help me to make the most of our time together.