Request for HSE Coaching Name* Company name Website E-mail adress* Verzend mij een kopie van het form Telephone number What made you want to request coaching with me?* What are you currently doing that is not working for you? * Where in lies the challenge for you? What would you like to solve?* What will happen is you don't solve this? How important is it for you right now to solve this? And why is that important? What happens if we can solve these things together? What would that mean for you? What can I do to help you go for what you really want? When will coaching be succesfull for you?* Are you willing to invest in yourself and your company (not only with money, but also with time and effort, doing homework, honesty etc)? * What other things are important to mention?