Getting to Know Yourself

Getting To Know Yourself in Just under 20 Questions

If you are seriously consider coaching at this time, complete the following as a precursor to beginning your coaching. This information will be held in the strictest confidence and is an opportunity for you and your coach to understand you better. Thoughtfully and thoroughly answer the following questions.

Please complete and submit

Name *

First

Last

Email *

Date of Birth *

What would you like to accomplish through coaching? *

What other personal growth programs have you been involved in? *

Do you have any concerns about your ability to be coached? *

Yes No

If you answered yes to the previous question, please describe your concerns. *

Please describe the role you see your coach having during your coaching sessions? *

If you had a magic wand, what would you change about your life? *

What would you change about yourself? *

List 3 things that really work in your life: *

List 3 things you know you MUST change in order to have the life you most desire *

What has happened in your life that has contributed to you now reaching our for coaching support? *

What One quality do you possess that you are most proud of? *

Untitled *

List the top three compliments you have received about yourself *

What gives you pleasure in life? What do you do for fun? *

If you could have 3 results after 12 sessiions of coaching? what would they be? *

If you could have only 1 shift, 1 result, 1 revelation after 90 days of coaching what would be your #1 choice for your #1 result? *