Confidence Coaching Cohort: Pre-Enrollment Questionnaire

Thank you for your interest in the Confidence Coaching Cohort (January-June 2023) with Segal Coaching LLC. Please complete and submit the Pre-Enrollment Questionnaire if you are interested in this program. If we determine you are a match and there is space available, we will also provide you with a Terms & Conditions to sign that includes confidentiality and other provisions.

If you have any questions, please email us at and

Note: If you do not give consent to personal information being stored by Segal Coaching LLC, please do not complete a submission. For a copy of Segal Coaching LLC’s privacy policy, click here. Your answers will be kept confidential in accordance with the ICF Code of Ethics.