Please complete this questionnaire as honestly as you can, prior to our coaching discovery call. This not only gives you the opportunity to assess yourself and think about your goals, but it will also help to shape our conversation when we meet.
Click the button below to start.
Question 1 of 14
What is your...
Day Phone number
Evening Phone number
Question 2 of 14
Briefly describe why you are interested in having life coaching. What goals would you like me to help you achieve?
Question 3 of 14
If you were to rate the following areas of your life on a scale of 1 to 10, with 1 being very poor, and 10 being excellent. Which ones (if any), would you score less than a 5.
Job or Career
Sense of Purpose
Question 4 of 14
What else would you like me to know about you?
Question 5 of 14
Are you in therapy or taking medication? If yes, please explain
The skills or creating what you want in one area of life will transfer to other areas. For each of the life areas below, write down what you would like to achieve as specifically as possible. Be as extensive as you'd like.
Question 7 of 14
Question 8 of 14
Question 9 of 14
Physical (Health) Goals:
Question 10 of 14
Question 11 of 14
Question 12 of 14
Question 13 of 14
In the past, what has helped you achieve goals you've set?
What are a few of your strengths?
What additional skills do you need to achieve your goals?
I look forward to speaking with you on the coaching discovery call shortly.