Personal Information
Goals
What are 3 goals that you want to
accomplish in the next 3 months?
What is one major goal that you want to accomplish in the next 12 months?
What has been your greatest challenge?
Coaching
What would you like to work on while working with me as your coach?
Have you ever worked with a couch before or a similar one-on-one relationship (i.e. sports coach, therapist, nutritionist, piano teacher etc.) If yes, what went well? What did not?
*If the answer is no, answer N/A*
List 5 things you are tolerating in your life at the present time.
*Examples include: information you cant find, job dissatisfaction, disconnected relationships, dented car, clutter, cranky people in your life, etc.
In a typical week, what do you spend a great amount of time doing?
What are your primary stressors? What stresses you out?
On a scale of 1-10 (10 being the highest) rate the following statements...
I am satisfied with my life
I am satisfied with my health
I am satisfied with my personal relationships
I am satisfied with my financial situation
I am satisfied with my social life
I am satisfied with my relationship with God
What are you hoping to get out of coaching sessions?
