Coaching Questionnaire Schedule Now Email (required) Your Name (required) Phone Address Birthdate What specific outcomes do you wish to acheive from this Coaching? What obstacles are you allowing to interfere with you achieving these goals/ outcomes? What things do you look forward to doing? what do you get excited about? What things could you do that you are not doing now that would that if I did on a regular basis would make a tremendous, positive difference in my life? In the last five years do you have any regrets, anything you would have liked to have done differently? What are you most Grateful for? Describe an absolutely perfect kind of day for you. (The absolute best day ever. What are you doing, who are you sharing it with and who are you being?) Be as detailed as possible; what does it look like, sound like, feel like and what would you be saying to yourself if you achieved this perfect day? What is missing in your life right now? Is there anything you feel is important to share with me about your physical or mental health? What would be a specific measurement of the success of this coaching program? (Preferably something tangible i.e. getting a job, a way of living, a savings plan in place, removing a limiting belief or negative state, a particular achievement etc) What days and times are best for you to meet? Do you prefer in person or via skype? {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…
