Please fill out the questionnaire and let us know a little more about you.

Question Title

* 1. Contact information

Question Title

* 2. How did you find out about Lea & Shailia?

Question Title

* 3. What are your biggest challenges right now?

Question Title

* 4. What do you want to change or transform in your life and/or business?

Question Title

* 5. On a scale of 0 to 10 ("10 stars" being the highest readiness): How willing are you to bring about this change?

Question Title

* 6. What have you already tried, and what are you doing now?

Question Title

* 7. What do you want to achieve in the next 6 to 12 months?

Question Title

* 8. Are you currently working with a coach and have you previously invested in coaching or mentoring?

Question Title

* 9. Why do you think that Lea & Shailia could be the right coaches for you?

Question Title

* 10. Is there anything else we should know about you and/or your situation?

Question Title

* 11. I understand that private coaching with Lea & Shailia – depending on your goals and length of the coaching – means an investment in the four- to five-figure range. (Private coaching programs start from 2.500 €.)

Question Title

* 12. I agree that my data from the contact form will be collected and processed to answer my request. The data will be deleted after your request has been processed.
 Note: You can revoke your consent for the future at any time by sending an e-mail to datenschutz@shailiastephens.com. You can find detailed information on how we handle user data in our privacy policy on ShailiaStephens.com.

Thank you for your trust and for taking the time to fill out this questionnaire. Your answers, which help us to prepare for our upcoming get acquainted call, will be treated confidentially. Within 48 hours, you'll receive an e-mail with an invitation to schedule your call with us. We look forward to speaking with you.

Lea Wernli & Shailia Stephens

T