Please fill out this form so I can get to know you better…. 

1)      If I could design a perfect life from scratch, I would have more

 

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 2)      If I could design a perfect life from scratch, I would have less

 

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 3) What role(s) do you most need me to play in the coaching process? (e.g., someone to hold you accountable, someone to listen to you, someone to always tell you the truth)

 

 

 

 

  

4) The things I am most fearful of are… (please think about this one…it’s very important)

 

 

 

 

 5) What are you buying with your coaching investment? In other words, what results do you need to see to ensure that the value you get from coaching is well worth your money?

 

 

 

 

 

  

6) Five things that I am putting up with that I do not really want or need in my life are (e.g., messy house, lost keys, car in need of cleaning, rude co-worker, etc.) and will take care of this month are :

 

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7) If you could perfect one thing with the snap of your fingers what would it be?

 

 

 

 

 

8) Things that I do not normally tell people but I need to share with my coach are:

 

 

 

 

 

 

 

 

 

9) What is the gift that you have that you’d feel great about orienting your life around?

 

 

 

 

 

 

 

10) What percentage of the life you are leading, is actually YOUR life?

 

11) I will know I have made a great investment in coaching within 3 months when ……….happens (please fill in the blank below)

 

 

 

 

 

 12) Why have you hired me as opposed to another coach?

 

 

 

 

 

 

 

13) Now is the right time for me to have a coach because…

 

 

 

 

 

 

 14) What will be the first small thing that might happen to indicate the coaching process is working?

 

 

15) What are the 3 areas that you would like to focus on immediately in your coaching sessions?

 

 

 

 

16) Do you understand that I stand for YOU, not your goals?