Try these questions. There are no ‘wrong’ answers – except dishonest ones. If you get stuck, just move to the next one. When you send the form in we will email you with a suggested time-slot for you to call for a free no-commitment initial discussion.

First Name: | *name=input,40 | What would you like us to call you?

Email: | *email=input,40 | We’ll use this email address for you

Contact phone number? | Contact_phone_number=input,40 | Optional of course

Question 1. What or who is particularly important to you? | 1._What_or_who_is_particularly_important_to_you?=textarea,40,2 |

Question 2. What drives you mad? | 2._What_drives_you_mad?=textarea,40,2 |

Question 3. Your current level of self-worth is: | 3._Your_Current_Level_of_Self_Worth_is:=select | Select one, Very low, Low, Good, High, Very high

Question 4. What do you need to think more clearly about? | 4._What_do_you_need_to_think_more_clearly_about?=textarea,40,2 |

Question 5. Where are you too hard on yourself? | 5._Where_are_you_too_hard_on_yourself?=textarea,40,2 | … or too easy perhaps?

Question 6. What are you constantly missing out on? | 6._What_are_you_constantly_missing_out_on?=textarea,40,2 | Be specific. You can always change your mind later.

Ask US a question | Ask_US_a_question_-_what_do_you_want_to_know?=textarea,40,2 |

| formtype_mail=submit | Send form!

| html_enabled=hidden | 1

| subject=hidden | Pandora’s Box – Website Response

# Example content:Remember Powerchange coaching is context-specific: boardroom, family, school (classroom/staffroom), church, your personal life, and so on. This website can only give you an overview of what is possible with our team. They are specialists in their field.  Let us know of your particular context and we will discuss with you, without the need of a commitment from you, the way we can help you get what is needed in that environment.