Group Coaching Pods Name * First Name Last Name Email * Phone (###) ### #### How long have you been in business? Name and nature of your business? Why does your business get you out of bed in the morning? Name the number one area of difficulty in your business. Name the one thing you do best in business. What do you hope to derive from our sessions? Dates are set beforehand. Are you willing to commit to 100% attendance? You are allowed to miss only one meeting before you lose your spot in the pod during a 6 month period unless it’s an emergency. Yes No Not sure yet Information exchanged in the pod is strictly confidential. Do you agree to stay true to your pod mates and keep what other’s share private? * I agree Thank you!