Life Coaching Questionaire

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First Name

Last Name

Email Address

Phone Number

INTENTIONS

What are your top 1-3 goals and/or intentions that you have set out and would like to achieve over the next three, six or 12 months?

What could stop you from completing these things?

What are the biggest obstacles?

ABOUT YOU

What would you say have been your three greatest accomplishments in your life to date?

What major transitions have you had in the past two years?

What is a goal or dream you have?

On a scale of 1 – 10 (10 = HIGH), what number represents your current level/degree of stress and/or worry?

What do you typically worry/stress over?

List five (5) things that you are tolerating or putting up with in your life at present.

MENTORING YOU

How can I best support you in the Coaching/Mentoring relationship? (Choose as many as needed)

Re-discovering the REAL you

Support

Accountablility: Checking up on goals

Suggesting or designing action steps

Strategic planning and/or finding your purpose

Exploring and removing blocks and obstacles to your success - your mindset

Directness: Asking hard questions

Painting a vision of what you can become or accomplish

YOUR POTENTIAL AND POSSIBILITIES

Do you have a personal or professional vision / mission / something amazing you want to do / achieve?

In 12 months time, where do you see yourself? Why?

On a scale of 1 to 10 (10 = High), rate the quality of your life today. Why? And rate the quality of your life at a time it was at its all-time high? Why?

What do you "really" want from our sessions?

What are your biggest challenges right now?

What is in the way of you solving them up to now?

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Let's talk about you Please fill out this questionaire to redeem your FREE coaching session

Let's talk about you
Please fill out this questionaire to redeem your FREE coaching session