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Initial Questionnaire for Transformational Coaching
Thank you for your interest in working with me. Tell me more about yourself, what brought you here and how you feel I can help?
Email address *
First and Last Name *
Your answer
Phone Number *
Your answer
Have you heard about my Breakdown to Breakthrough online course? If not you can learn more about it here:
https://amanda-oreilly.mykajabi.com/p/breakdown-to-breakthrough%20
*
What are you struggling the most with right now that you are eager to work on and change? *
Your answer
Do you have a business already or are you looking to start one? *
I work with all types of business owners but which would you say best describes you? *
What kind of Breakthrough are you looking for? *
Have you worked with a coach before? If so, what was the outcome? *
Your answer
If you have worked with another coach before tell me about your best coaching experience: *
Your answer
What about your worst coaching experience and what did you learn from that? *
Your answer
Tell me more about the perceived problems that you'd like to address working together? *
Your answer
Do you see how you might have co-created the problems you're currently experiencing and in how many different ways have you already attempted to solve them? *
Your answer
What is getting in the way of you living your best life? What actions do you KNOW you should be taking but aren't? *
Your answer
Are there any negative emotions that you feeling on the regular? *
Your answer
If so, on a scale of 1-10, how intense are these negative emotions *
Not intense at all
Taking over my life
Are you aware of any limiting beliefs present in relation to your problem? Can you identify them for me? Do you know what a limiting belief is? *
Your answer
How will you know that the problems have disappeared at the end of our time together? *
Your answer
How would you show up in life if your "percieved" problems were to completely disappear? *
Your answer
Are you in a place where you are willing to invest the time, the work and money in yourself that is needed to make the shifts necessary in your life? *
What do you want to walk away with having worked together? *
Your answer
Why do you think I’m the best person to help you? How did you hear about me? *
Your answer
Anything else you'd like to add?
Your answer
I'm only willing to work with people who are committed to massive action and change. Is that you? Transformation is rarely easy, but it's worth it! *
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