Will this kind of coaching suit me?
Sign in to Google to save your progress. Learn more
Email *
Name *
Age
Occupation
Are you seeking short-term or long-term therapy? *
Would you prefer a slower-paced, longer term method that would allow you to spend more time talking and processing memories and developing insight? Or would you prefer a faster-paced coaching that results in taking action and making decisions? *
Do you have trouble expressing thoughts and feelings, and would you like therapy to help with this? *
Do you want our work to focus on the present and future, or more on the past? *
Are you interested in using our work together to set and achieve goals in order to make concrete changes in your life? *
Do you want a coach who primarily listen and lets you talk, or one who voices thoughts and opinions? *
Do you like to have homework, reading, or action steps to take between sessions? *
Why did you decide to look for coaching now? *
Are you in danger or in a crisis that needs immediate attention? *
Are you able to make good decisions for yourself and those dependent upon you? *
Do you think your issue can be solved by focusing on your own feelings, behavior, and/or thinking? *
Are you interested in changing yourself and your situation? *
Do you need something or someone outside of you to change first, before you can address your own problem? *
Can you think of a possible first step that would begin to resolve one of your problems? *
What would a successful outcome in our work together be? *
What gives you energy and what drains you? *
What is a typical day like for you? *
What is going well? *
What is not going well? *
Are you worried about physical or personal safety or immediate survival *
Of all the problems you face, which need attention immediately? *
What are low priority that can be corrected over time? *
What are you proudest about in regards to your life and/or work? *
Where would you like to see yourself (in life, relationships, work, career) by the end of our work together? *
What would you want from me, as your coach, to help you reach your goals? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy