Questionnaire - Are You Ready For Coaching?

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If life is an adventure and you are the captain of your ship, where are you sailing to? Are you crystal clear of your destination? Are you on track or off-course? Are you moving slowly or quickly? What's stopping you? What moves you?

Thank you for your input, it will help me to add more value and contribute to your life transformation :)

In Authenticity & Courage,
Rainmakers Coaching International @ www.growwithrainy.com

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Name *

Contact No *

Profession *

1. What are your top 2 INTERNAL problems that when resolved, will enable you to achieve your goals? *

LACK OF SELF-ESTEEM - I am hard on myself, I beat myself up for everything, even when I did a good job. No matter how impressive my work is, it’s often not good enough because I could always do better. I have difficulty accepting praises. I don’t value myself highly, like I’m a nobody, I care a lot about how people see me, I often crave people’s validation.

LACK OF SELF-CONFIDENCE - I don’t believe in my capabilities, I don’t speak up because I’m afraid to say the wrong things, I have difficulty saying no. I often doubt myself, I compare myself with others, it affects how I live or make decisions.

FEAR OF FAILURE - I am afraid to make mistake, I don’t dare to take risk to reach my goals or challenge myself because I don’t believe I am capable. I am not growing.

EMOTIONAL IMBALANCE - I am easily triggered. I often feel anxious, worry/sad/depress/angry. It affects my performance and the quality of my life.

I don't have internal problems

Other:

Required

1.1 Why do you choose the above options? (If you choose Other, please specify it here and the reasons). *

2. What are your top 2 WORK problems that when resolved, will enable you to achieve your goals? *

OVERWHELMED, LACK OF PRIORITIES & FOCUS - Thinking of work makes me stress, there are so many things to do that I end up doing nothing.

OVERTHINKING - I wasted more time thinking than doing, it slows me down in achieving my goals.

OVERWORKED/BURN-OUT - I feel so exhausted at work that I have no energy to do anything at the end of the day. I’ve no inspiration, my brain juice had gone dry and I can’t accomplish anything.

NO SATISFACTION / FULFILMENT - I don’t enjoy what I do, I’m unhappy and I feel like I’m wasting my life. I want to do what I love and get paid for it.

WORK LIFE IMBALANCE - causing me to neglect my mental and physical health/romantic relationship/family/friends - feel disconnected/lonely/helpless/burnt out.

IMPOSTER SYNDROME - I feel like a fraud, I have difficulty accepting praises, can’t accept own shortcomings, I am often hard on myself.

PROCRASTINATION - I don't do what I said I want to do, I didn’t achieve the goals I set and it makes me feel like a failure and I don’t like myself.

REGRETS for not fulfilling my greatest destiny - I feel I am meant for something bigger but I don’t know how to go about it and I’m afraid to pursue it.

LACK OF CONSISTENCY & DISCIPLINE - I easily get excited to start a new project but I tend to give-up halfway and move on to the next shiny object. As a result, nothing gets done.

I don't have internal problems

Other:

Required

2.1. Why do you choose the above options? (If you choose Other, please specify it here and the reasons). *

3. What are your top 2 RELATIONSHIP problems that when resolved, will enable you to achieve your goals? *

TOXIC RELATIONSHIP - makes me feel unhappy/suffocated/invisible/fading/shrinking in my relationship.

OVER-DEPENDENCE on my partner - causing me to lose my confidence and self-esteem, I don’t have my own life because everything is circulating around my partner, I am afraid to lose my partner and my clinginess seems to suffocate my partner.

LOSING MYSELF in a relationship - I no longer live for myself, everything that I do is for my partner/my family. I forgot who I am.

LACK OF TRUST in the relationship - makes me withdraw my love, I feel insecure, often pushing my partner away with my insecurity, creating an ever-widening gap in my relationship.

CONFLICT OF PERSONALITIES & VALUES - often leading to conflict and fights, I am losing respect towards my partner, I am withdrawing away from my partner, and if nothing change, I am afraid my relationship will fail due to irreconcilable differences.

I don't have relationship problems

Other:

Required

3.1 Why do you choose the above options? (If you choose Other, please specify it here and the reasons). *

4. What are your top 3 problems that when resolved will transform you and your life forever? *

5. What do you want to create in your life? If you know you cannot fail, what do you want to BE, DO, HAVE in your life? *

5.1. Why is it a MUST for you to achieve your goals? *

5.2. What are the consequences if you do not achieve your goals? *

5.3. What is your level of commitment to achieve your goals? *

It is ok not to change

I am willing to do whatever it takes

5.4. What methods have you tried to achieve your goals? *

6. What is your top priority now? *

7. Why is it important for you to change now? *

8. What are the key reasons that make you decide to get coaching? *

9. What are you willing to commit to achieve your goal? *

Time

Discipline

Face my fears and take actions.

Take 100% responsibility for my outcome.

Believe in myself

Invest in myself

Let go of the excuses that keeps me small

Other

Required

9.1. If you ever feel like giving up, or if you are going through a downtime/losing your momentum or you begin to lose faith on yourself, how would you like to be supported so that you can keep moving? *

10. What sort of coaching are you looking for? *

Short term coaching to solve my immediate problem only (2 - 3 months)

Mid-term transformational coaching to permanently transform the key areas of my life (6-12 months)

Required

11. Throughout the coaching journey, your coach will challenge you to do new things, or things that you are not familiar with, that will stretch you outside of your comfort zone. The purpose is to help you grow, to raise your capacity to handle greater challenges in life so that you can achieve your greater goals. Do you promise to do your best and work closely with your coach? *

Yes

12. Do you make over $22,000 per year? *

Yes

12.1. Are you willing to invest at least 10% in yourself? *

Yes

13. I am ready for a coaching conversation. Let's schedule it. *

Yes

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