Questionnaire

Copy questionnaire to >HERE< and Paste into email body. Fill out your answers in red. With the Subject: Yes Questionnaire

Questionnaire:

Name:

Email:

Mobile Number:

Age:

Why do you want to seek life coaching at this time?

In the short term, what objectives or areas of life do you most want to work on or pay attention to?

Tell me a story from your life that would give me a picture of who you really are.

What is an event that shaped you as a person?

What are you passionately pursuing or longing for?

How well do your current roles fit or not fit with your purpose and natural strengths?

What is most important to you in life (or in your business)?

Take the eight basic life areas (family/relationships, health, career, money, spirituality, personal development, recreation, and physical environment), and jot down what you care about most in each area.

Family/Relationships

Health

Career

Money

Spirituality

Personal Development

Recreation

Physical Environment

a. With these eight areas in mind, what are some fundamental values you base important decisions on?

b. What's #1 priority for you right now?

What’s best about you? List five things you love about yourself.

How Motivated Are You To Accomplish Your Goals?

What are 3 goals that you are actively working on in your life? How long have you been working towards these goals?

Name one great joy and one sorrow that you've experienced this year.

Are there any triggers or obstacles you'd like the coach to be aware of, in order to accommodate your needs?

What limiting beliefs do you want to release?

What would it be worth to you to make the change you want?

What do you wish to achieve/expect by seeking life coaching?

Are You Willing and Ready To Commit To Monthly Coaching Calls?

What time of day would be your ideal coaching time?

How many times a month would be your

ideal number of monthly coaching sessions? (circle answer)

• 1

• 2

• 3

• 4

How will you receive the call? (Circle all that you have available)

• Phone

• Zoom Video Call

• Facebook Video Call

• Instagram Video Call