Getting to Know You -- Coaching Questionnaire
Christian coaching is more effective and efficient if you can give me, the coach, some information about yourself at the beginning. THIS IS CONFIDENTIAL INFORMATION and you are free to pass on any of the questions. The more you complete, however the better I will know you and be able to provide the best coaching experience.
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Email *
Full Name *
Name you like to be called:
Cell phone number *
Address
Occupation
Date of birth
MM
/
DD
/
YYYY
Marital Status
If married, Spouse's Name:
Do you have children?
Clear selection
If yes, what are their names and ages?
How did you hear about Morning by Morning Life Coaching?
Clear selection
Please write a brief life story, giving whatever background you wish.
What brings you to coaching? What specific issues would you like to work on?
Have you ever been coached before? If so, describe you experience with coaching.
Are you no or have you ever been in counseling or therapy or have a clinical diagnosis? If yes, please explain.
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?
What are the major things happening in your life right now?
How would you like your life to be different one year from now?
What is getting in the way of these changes or goals?
List three things you are procrastinating on in your life right now.
If we worked together, in what ways might you undermine or sabotage me as your coach? How would I help you stop doing this?
What are your insecurities about being coached?
IDENTIFYING YOUR VALUES
Values are foundational beliefs that anchor our lives, the things that matter to us the most, the nonnegotiable characteristics that best describe who we are. Look over the following list and check 12-15 words or phrases that best illustrate YOUR values. If you have values not on the list, add your values in the spaces provided. If you are unsure, you may ask those close to you. They might see your values in your actions.
Please include any other comments you wish to add.
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