Request edit access
One-to-one Coaching Discovery Questionnaire
Thank you for taking the time to fill out this questionnaire.
This will ensure that I am able to best serve you during our call together – Kevin
Email address *
Full Name *
Your answer
Skype Name *
Your answer
Website (if applicable) *
Your answer
How is your life right now? What are the main challenges that are going on eg. in work, relationships, family life, self-expression? *
Your answer
How are these challenges affecting your health, your life, and your finances? * *
Your answer
If I waved a magic wand and your life could be the way you wanted – what would it look like? In other words, how would you want your life and your career/business to be different? * *
Your answer
What are your goals over the next 3 months? *
Your answer
What would accomplishing these achievements mean to you? * *
Your answer
On a scale of 1-10 (10 being highest) how committed are you to reaching your goals? * *
Not commited
Extremely committed
What do you think your challenges are in achieving your goals? * *
Your answer
On a scale of 1-10 (10 being highest) how committed are you to investing in business coaching for yourself at this time? * *
Not committed
Extremely committed
Have you ever received business coaching before? If so, with whom? * *
Your answer
If you answered yes above, did this coaching meet your goals both professionally and personally? *
Your answer
Is there anything else you'd like to share with me before we speak? * *
Your answer
'Whatever you can do or dream you can, begin it. 
Boldness has genius, power and magic in it.' 

– Goethe
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service