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Coaching Questionnaire
Help us better understand your starting point and your goals.
www.deanstorercoaching.com
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Name
Phone number
*
E-mail
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What are your goals?
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What's your vision/main goal?
What is your biggest block?
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I feel overwhelmed and don't know where to start
I don't have enough time
I don't have enough support
I'm stuck and can't get beyond a certain point
Other:
Required
What are your short term goals? Example: What would you like to tackle in the first three months of coaching?
What do you want to achieve through coaching?
Grow my business
Attract more clients
Improve relationships
Brush up on presentations/public speaking skills
Financial Freedom
Improve time management skills
Other:
On a scale from 1-5 (with 1 being the lowest and 5 being the highest), how important to you is your need for a support system?
On a scale from 1-5 (with 1 being the lowest and 5 being the highest), how committed are you to investing your time, money, and changing your life?
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