INDIVIDUAL COACHING

CONTACT INFORMATION

Full Name, Email, Phone Number

COACHING NEEDS

I work with people who are READY to be released from the bondage of people, negative thoughts, and patterns of unhealthy behavior, create a new sense of inner peace and freedom, and go ALL IN on changing the way they feel about themselves and living the life they desire. Is this you?

What made you decide to apply for this program? What "breakthrough" are you looking for?

What would you describe as your "struggle" when it comes to your relationships (with others or yourself), career, and/or overall well being (mental, emotional, physical?)

How long have you been suffering from this issue? If you could describe your life, and the way you feel about yourself, what two words would you use?

If you could shift one area of your life immediately, what would it be and why? (This could be related to relationships, personal growth, mindset, wellness, or anything you feel is important)

Do you notice recurring patterns in your life you’d like to shift? (Ex: feeling you must “earn” love, repeating unhealthy habits, having the same conflict in relationships or work, or feeling constant disappointment despite your efforts)

What is it that you want to feel? What are you searching for? What have you already done to attempt addressing this concern? Why do you believe you are ready for this change now?

Have you ever been in a coaching program before? If not, have you considered it? If so, what do you feel helped and what didn’t?

This is a committed, intensive program designed to help you take confident steps forward. Are you open to being coachable if we feel aligned?

MARKETING DATA

How did you hear about The Oasis Space, LLC/Patrice Grimes Consulting?

Individual Coaching

CONFLICT TRANSFORMATION

CONFLICT TRANSFORMATION SERVICES INQUIRY FORM

CONTACT INFORMATION

Business Name, Contact Person, PositionTitle, Email Address, Phone Number:

BUSINESS DETAILS

Type of Business (e.g., Industry, Sector): Number of Employees (Total Org and # Expected to Attend Event): Location (City, State, Country):

CONFLICT TRANSFORMATION NEEDS:

What specific conflict transformation services are you interested in?** (e.g., mediation, training, coaching, workshops)

Would you prefer services in person or virtual (eg. Zoom)

Have you previously engaged in conflict transformation or resolution processes?(Yes/No) If yes, please provide details

Yes

What types of conflicts are you currently facing or anticipating? (e.g., internal team conflicts, client disputes, etc

GOALS AND EXPECTATIONS:

What are your main goals in seeking conflict transformation services?** (e.g., improving communication, enhancing team dynamics, etc.)

What outcomes do you hope to achieve through these services?

ADDITIONAL INFORMATION:

Is there any other information you would like to provide or specific questions you have? What is your projected budget for this event/service?

MARKETING DATA

How did you hear about Patrice Grimes/The Oasis Space?

Conflict Transformation

APPLICATION

SUBMIT AN APPLICATION TO WORK WITH ME

INDIVIDUAL COACHING

CONFLICT TRANSFORMATION

CONFLICT TRANSFORMATION SERVICES INQUIRY FORM

PATRICE GRIMES

571-399-5797

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