Gretchen The Anti-Boring Academic Life Coach

Be sure to send me a message. I'm here for you!

Send

Gretchen The Anti-Boring Academic Life Coach

Be sure to send me a message. I'm here for you!

Yes! I'd Like to Schedule a "De-Stressify School" Strategy Session.

Who is filling out this form? (required)
ParentStudentOther:

What is your city, state, and time zone? (required)

How did you find out about me?

How does the student feel about the idea of receiving coaching? (required)
Relieved & ready for helpOpen but cautiousResistant and/or waryThe student doesn't know about it yetOther:

You Contact Info, Please:

Student's First and Last Name (required)

Student's Grade Level (required)

Student's Email (required)

Student's Cell Phone Number

Parents' Names (if applicable)

Parents' Phone Numbers (if applicable, please list preferred phone number first)

Parents' Email Address (if applicable)

What video chat applications does the student know how to use, or is willing to learn? (required)
SkypeZoomFacetimeGoogle HangoutOther:

Please provide the contact address for the student's most preferred form of video chat. (required)

Now Tell Me More About You...

What are the student's strengths, special skills, hobbies, and interests? (required)

What is the students' single biggest struggle or challenge at school with which you would like help? (required)

What struggles or challenge in life contribute to stress at school? (required)

What specific issues would you like addressed by academic life coaching? (required)
Time ManagementOrganizationStudy SkillsWritingClear communication with parentsSelf-advocacy with teachersReading comprehensionNotetakingTesting anxietyPlanning/Thinking AheadLack of motivationInitiating WorkProcrastinationTrying too hardSelf-esteem as a studentCompulsive perfectionismOther:

Please describe the grades you are currently earning. (required)

Why are you serious NOW about taking action to improve your experience with school? (required)

Has the student been tested for learning differences? (required)

Finally...What Is Your Commitment Level to Your Academic Success?
Please answer these questions from the perspective of the person filling out the form. If you are the STUDENT, what is your commitment level in each of the following areas? If you are the PARENT, what is yours?

On a scale of 1 to 10. How much ENERGY are you willing to put towards your success at school? (required)
1 - Very Low2345678910 - Very High

On a scale of 1 to 10. How much TIME are you willing to put towards your success at school? (required)
1 - Very Low2345678910 - Very High

To be answered by the person responsible for paying for coaching: People always ask me how much they will need to invest in coaching, so let me take the hype out of it. Realistically, unless you are considering a group program, you should abe able to invest $2000-3000/semester for one-to-one coaching with me. How willing and able are you to make that level of investment without causing undue financial hardship?
1 - Major Hardship2345678910 - No Hardship

What else would you like me to know about your situation and/or commitment level before we schedule a meeting?

Would you like to begin receiving my free weekly 3-minute coaching videos?
If so, please indicate which email address to send them to. I strongly recommend starting your coaching NOW with this free resource; please know that you can unsubscribe at any time.

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College Prep Podcast # 163: Why Perfectionism in Teens Is Not Always Healthy June 6, 2017
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