Please write a brief life story, giving whatever background you wish.
Your answer
What brings you to coaching? What specific issues would you like to work on?
Your answer
Have you ever been coached before? If so, describe you experience with coaching.
Your answer
Are you no or have you ever been in counseling or therapy or have a clinical diagnosis? If yes, please explain.
Your answer
Describe your spirituality. What is your relationship with God? In what ways do you sense God might be challenging you, nudging you, or trying to get your attention?
Your answer
What are the major things happening in your life right now?
Your answer
How would you like your life to be different one year from now?
Your answer
What is getting in the way of these changes or goals?
Your answer
List three things you are procrastinating on in your life right now.
Your answer
If we worked together, in what ways might you undermine or sabotage me as your coach? How would I help you stop doing this?
Your answer
What are your insecurities about being coached?
Your answer
What would success look like to you/what do you want to be doing or feeling about your situation by the end our of time working together?
Your answer
Please include any other comments you wish to add.