Brian Eisenberg - Life Coaching Questionnaire

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Questions to help me help you!

Last Name *

First Name *

Best Phone Number to be able to reach you. *

Best Email to be able to reach you. *

What brings you here today? *

Have you worked with a life coach before? If yes, explain briefly what worked / didn't work for you. *

Are you committed to making your life the best it can be? *

Yes

If anything was possible, what would you be doing in life right now and why? *

How will you know when you are receiving value from the coaching process? *

What are your goals in working with me as your coach / mentor? *

List a few things that you know you know (ex. I know 2+2=4, I can run a mile in "x" time, I know how to cook "x"). *

List a few things that you know you don't know (ex. I (most likely) don't know rocket science, I don't know the outcome of the upcoming election, I don't know the exact weather 30 days from now, etc.). *

Are you open to the idea that there is way more that we don't know we don't know, in comparison to what we, (a) know, and (b) know we don't know? *

Yes

It is understood that Brian Eisenberg is a personal growth coach and is an added partner to your health care team. He is not a therapist, nutritionist, medical doctor, or certified diabetes educator. He works in conjunction with the other parts of your overall well-being team to assist in unlocking your potential of maximizing life to be the best it can be. *

Yes

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