Client Questionnaire

The following questions are used as a tool. This tool will allow me to custom tailor a program designed specifically to meet your areas of focus and your individual needs. This questionnaire will serve as a snapshot into your world. As we begin the coaching journey, that snapshot will begin to expand and serve as a guide for growth and personal excellence.


    All Fields Required

    1. If success were guaranteed, what is the biggest change you would like to make in your life right now?

    2. What are the three biggest challenges you are facing right now?
    a)
    b)
    c)

    3. If you hired me as your coach, what is the first thing we would work on together?

    4. What do you hope to get from coaching with me?

    5. What type of life do you want to lead?

    6. What word would you use to describe your last year?

    7. What are you good at? How can you potentially use these strengths to your advantage?

    8. What activities in your life have meaning for you?

    9. Please tell me about your current personal support system (friends, family, affiliations, etc.)

    10.Are you currently employed? If so, what kind of work do you do?

    11.Is there anything else you think I should know about you?

    Full Name:

    Email: