Coaching Inquiry Form for HR Professsionals/Sponsors


Please answer the following questions as thoroughly as possible. We receive a large volume of inquiries. The more information you can provide about the potential client, the easier it will be for us to determine if our services are a good fit. Please be assured that the information you submit will treated confidentially.

Kind regards,

Heather Blackmore
Optimal Coaching


NOTE: Please click on SAVE & SEND when you have completed the form.
Once you have done so, a small pop-up message will appear briefly confirming that the form has been sent to your coach (unless you have pop-ups disabled).

Please confirm whether the potential client is:


What has prompted you to contact Heather Blackmore / Optimal Coaching?

Were you referred to Heather Blackmore / Optimal Coaching? If yes, please say who referred you below. If not, please say how you first heard about us.

What type of organization does the potential client work for?

What industry sector does their organisation fall under?

How would you describe their current role in the organisation? Please include number of direct reports, if applicable.

Who has expressed an interest in researching the potential benefits of Coaching for this person? (Multiple responses possible).

Optional: If you would like to give further information, please use the space provided below.


Optional: If you wish to provide further information about who initiated the search for a Coach use the space provided below.

In what area(s) of their life does this person need support to overcome their challenges and harness their strengths?

How would you describe their current general state of well-being, energy and self-care?

Engaging in a coaching process requires time, energy and commitment. Please bear in mind that the coaching process will only be successful if the client is fully committed.

Please give an indication of the level of urgency below.

We review requests on a regular basis
and will get back to you as soon as possible.

Please be sure to click on SAVE & SEND when you have completed the form.

* are required fields