Free Executive Coaching Consultation

Dr. Marshall Colt provides a free, phone (or e-mail) consultation to assess and confidentially discuss your situation with you.  He will then tell you if and how he may be of service, and the costs.  Remember coaching fees are, in many cases, U.S. business tax-deductible.

"I want to thank you for a wonderful initial consultation.  You seemed to have a caring, listening ear as well as having a good idea for where to begin and how to progress.  I want to thank you very much.  May the blessing you gave me in a telephone call, be returned to you many times over.  If I can ever be of assistance to you, don't hesitate to ask.  I would like to return the time/heart investment you gave to me." -- C. H., Maryland

Please submit the information below and Dr. Colt will get back to you right away.  All information is kept strictly confidential.

Full Name

Company/Organization  How long?

Position   Stress level

Address

City  State/Province

ZIP/Postal code  Country AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanAzoresBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia HercegovinaBotswanaBrazilBrit.virgin Is.BruneiBulgariaBurkina FasoBurundiCameroonCanadaCanary IslandsCape VerdeCaroline IslandsCayman IslandsCentral African RepChadChileChinaChina Peoples RepColombiaComoros IslandCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgetownGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKampuchea (cambodia)KazakhstanKenyaKoreaKuwaitKyrgystanLaos Dem Rep OfLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMadeira IslandsMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMiquelonMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmar (burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorwayOman SultanateOtherPakistanPalauPanamaPapua New GuineaParaguayPeo. Rep. Of CongoPeruPhilippinesPitcairn IslandsPolandPortugalQatarRep Of KoreaRep. Of HungaryRep. Of KiribatiReunion Is.RomaniaRussiaRwandaSao Tome IslandSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt HelenaSt KittsSt LuciaSt. VincentSudanSurinameSwazilandSwedenSwitzerlandSyriaTadikstanTaiwanTanzania Union Rep OfThailandTogoTongaTrinidadTristan Da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslTuvalu IslandUSAUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamWestern SamoaYemenZaireZambiaZimbabwe

E-mail(Must be proper e-mail format: xxx@yyy.zzz)

Telephone (where you want Dr. Colt to call you)
(Include area code, please; or country and city codes, if appropriate)

Facsimile  URL(http://www.xxxxxx.yyy)

Please describe your executive coaching needs and specific goals to the extent you feel comfortable (kept confidential):

I prefer to be coached via:
   Telephone   E-mail   Instant Messaging (IM)   In Person

How you heard about Dr. Colt or Academy Personal, Executive & Life Coaching: Please choose one: Employer referral Friend / Colleague Magazine: (please name on line below) National Association of Working Women Newspaper: (please name on line below)   "The Chicago Tribune"   "The Denver Business Journal"   "The Denver Post"   "The Denver Rocky Mountain News"   "The International Herald-Tribune"   "USA Today"   "The Wall Street Journal"   "The Washington Post" Radio:   KFYI-Phoenix   WGN-Chicago   WOR-New York Search Engine: (which one? please name on line below) Television:   KABC-TV  Los Angeles   ABC's "Good Morning, America" Web link: (please describe on line below) Yellow Pages Other: (please describe on line below)

More specifically, please:
(who, which, what, when, where, how, etc.)

ALL fields, except URL, require an entry, please.  Also, your e-mail address must be in the proper format (xxx@xxx.xxx) or you'll have to re-post your information.