Intake

Coaching Questionnaire

I’m really looking forward to getting started with you. Helping people live their most authentic lives and find fulfillment is both my passion and my purpose.

The questions below serve two purposes: to get to know you and to help you get clear about what you want and why.

Please answer completely to assist me in providing you with the most comprehensive coaching experience.

Take your time with these questions. Some people choose to write out their answers in a separate document, then copy and paste their answers when ready to submit.

As soon as you submit this form, you will be redirected to schedule your 90-minute Discovery Session. I look forward to getting started with you!

Full Name *

First

Last

Name you would like to be called *

Phone Number *

Mailing Address *

Email *

Best Way to Reach You (email, text, Discord, etc.) *

Date of Birth *

Name & Relationship of Important People in your Life (Including Mate and Children) *

What are you most excited about getting from coaching? *

Describe three things you most want to achieve or accomplish as a result of your coaching sessions. *

Why do you want to achieve these things? *

How will you know our coaching has been effective? *

What do you need from me in order for coaching to have a huge impact in your life? *

Where do you get slippery or might you try and sabotage yourself or me? How will I know it? *

How do you want me to handle that? *

What is success to you? *

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

What are you most grateful for in life? *

What is the hardest thing in life that you’ve had to overcome? *

List 5 things you are tolerating or putting up with in your life at present. (examples could be clutter, rude friends, conversations that need closure, poor environment, etc.) *

What is your vocation (your true calling)? What are you here (in life) to do? *

What motivates you? *

Who inspires you? Why? *

What accomplishments, in your opinion, must occur during your lifetime so that you will consider your life to have been satisfying and well lived- a life of few or no regrets? *

What actions or habits, if taken on a regular basis, would make a big difference for you in your life? (i.e. meditation, working out, nature walks, reading, etc.) *

How do you generally handle crises when they arise in your life? *

What’s missing in your life? *

Identify three main focus areas for this stretch of our work together. For each focus area provide a simple heading, a description of a measurable outcome, and answer, in detail, the questions: 1) What will my life be like —what will I enjoy and how will I feel after I’ve achieved this goal? 2) What would my life be like —what challenges will I face if I don’t handle this goal? *

Intake

Coaching Questionnaire

Authentic Expressions Coaching

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