Pulasthi Panamgama

Individual Coaching - Booking Form

~ You can fill this form in either Sinhala/ English - choose the language you are more comfortable with.
~ Choose Sinhala as the language to see translated questions.

~ ඔබට මෙම පෝරමය සිංහල/ ඉංග්‍රීසි යන භාෂා දෙකෙන්ම පිරවිය හැක - ඔබට වඩාත් පහසු භාෂාව තෝරන්න.
~ පරිවර්තිත ප්‍රශ්න ලබාගැනීමට සිංහල භාෂාව තෝරන්න.

Personal Information

Full name (first name & surname):*

WhatsApp number:*

Email:

Would you like your coaching calls to be recorded?*These recordings will be made available to you. They may be used for quality assurance purposes by the company. No private data will be shared with any third-parties.

Yes, please record my coaching calls

No, do not record my coaching calls

Mental Health Self-Assessment

Do you suffer from any mental health issues?*

Yes

Are you currently facing any severe traumatic situations at home or your local environment?*

Yes

As is a qualified professional with years of coaching experience and verified credentials, a Senior TeamOne Coach will deliver you higher value at a premium investment.

Program Selection

Which program do you want to join?*

Ordinary Level

Advanced Level

Undergraduate

Professional Exams

Identifying the Coaching Requirement

What are your biggest distractions/ time-wasters?*

Issues you're facing at the moment:*

Do you do any extracurricular work or sports?*

What is the 1 THING that you enjoy doing the most? (It can be anything, no 'correct' answers here)*

What are the 3 MOST IMPORTANT things to you in your life?*

What's your BIGGEST FEAR in life?*

What are your parents and family like? How do they help you?*

How do you expect the Coach to help you?*

Your Promise - AlphaStudent Code of Conduct

Are you ready to completely change the way you work, if need be, on the advices of the Coach?*

Yes

Do you agree that despite the best advice and guidance from your Coach, you will NOT become successful if you do not put them into action by yourself?*

Yes

Are you ready to take the full responsibility of your own success and the way you work during and after the coaching program?*

Yes

Scheduling

Senior Coach - Coaching program duration*Get a discount when you book a longer program!

2 weeks (රු11,900)

3 weeks - Rs 800/- OFF (රු16,900)

4 weeks - Rs. 1700/- OFF (රු21,900)

5 weeks - Rs. 2600/- OFF (රු26,900)

6 weeks - Rs. 3500/- OFF (රු31,900)

7 weeks - Rs. 4400/- OFF (රු36,900)

8 weeks - Rs. 5300/- OFF (රු41,900)

රු0

Following are the latest available dates & times of this coach to reserve your session. Please select a convenient time for you:*The sooner you start your coaching program, the more advantageous it is for you!

Wednesday, 4:15 PM | March 9th, 2022

Wednesday, 5:30 PM | April 27th, 2022

Wednesday, 6:45 PM | March 30th, 2022

Thursday, 4:15 PM | March 17th, 2022

Individual Coaching with

SENIOR STUDENT COACH

Professional Credentials

Educational Background

Co-curricular Activities

Professional Experience

Individual Coaching with Pulasthi Panamgama

Individual Coaching - Booking Form

Personal Information

Mental Health Self-Assessment

Program Selection

Ordinary Level Examination

Advanced Level Examination

Undergraduate Examinations

Professional Examinations

Identifying the Coaching Requirement

Your Promise - AlphaStudent Code of Conduct

Scheduling