1:1 Coaching Questionnaire
Welcome and congratulations for taking this first step towards working with a coach! 

This short questionnaire helps me get to know you a little better, understand where you feel stuck and what your goals are.

I work with men and women who are open-minded, coachable and ready to experience shifts within themselves and their relationships. 

Please take some time to answer these questions as honestly as you can. Your responses are confidential and will allow me to determine whether coaching is the right fit for you. 

After I've received your response, I'll send you a link to schedule a 30 minute complimentary Zoom meeting. During this meeting I'll share more about:

*What coaching is and what it's not
*How the process works
*Me and my areas of expertise
*Terms and conditions

You'll be able to ask any questions and we will discuss payment options (including Pay What You Can and instalment plans).

I look forward to receiving your questionnaire and working with you.

Amanda Vella

Sign in to Google to save your progress. Learn more
Email *
Your full name *
Email address *
Mobile phone number *
Have you ever worked with a coach before? *
Required
Please provide a brief outline of your current situation and what you would like support with from a coach: *
What do you want this situation to look like?
Using bullet points, list up to 3 potential goals for the next 90 days (may include relationship, parenting, mindset, self-care etc): *
How do you want to feel at the end of your coaching series? *
Please note that coaching is not a replacement for counselling or psychotherapy. By submitting this form you acknowledge that coaching is not the space to address any serious anxiety, depression, trauma or other mental health concern. I can, however, point you in the right direction should you need these services. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy