Name of significant other and children if applicable:
What has you to considering coaching now?
What areas would you like to address in coaching?
What would it look like in your life if coaching accomplished its goals?
As a coach, how can I best support your goals?
What is your current occupation?
On a scale from 1 to 10 how satisfied are you with this current job?
What is your dream job?
What would make this job a 10?
Are you considering a new position in your current employment or looking for something new?
In the last 12 months what professional development activities have you participated in? (i.e. on-line or in person seminars, assessments, workshops, reading, group coaching)
What kinds of programs were they?
What are past and present hobbies or activities?
On a scale of 1 to 10 how satisfied were you when doing these hobbies?
Is there a personal interest/ hobby that you would like to develop? If yes, please indicate:
Is this something that we can discuss in coaching?
What are unique and special job skills do you have and are proud of?
Do you have a faith or religious background?
Would you like this integrated into your coaching experience.
Describe a time in your life where you experienced a life changing moment. What has changed in your life since then?
What is your Highest Level of Education?
Have you ever participated in mental health therapy?
If yes, how long ago was this time in therapy?
Have you ever had prior coaching experiences, personally or professionally?
What is the best time for you to attend appointments?
What made you consider contacting me for coaching?
