Connect with a Surgical Coach - The Academy for Surgical Coaching

To take the next step in connecting with a Surgical Coach, please tell us a little bit about yourself. We will follow up very soon to answer your questions and connect you with a Surgical Coach.

First Name*

Last Name*

Email Address*

Surgical Specialty

Please select your surgical specialty.

Organization

Coaching Questionnaire

To help us better understand your needs, please answer these questions about working with a Surgical Coach.

What do you hope to accomplish by working with a Surgical Coach?

What type of Surgical Coach would be a good fit for you?

Are you currently video-recording your cases? What technology do you use in the operating room to record?

We know schedules are tight. When are you generally available for connecting with a coach?

Who would you like to receive coaching from? Is there someone that you would like to nominate or is an excellent coach?