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Life is You Client Questionnaire
"Essential questions to consider before contacting us, to ensure we are the right fit for you and to guide you towards the appropriate assistance."
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Email
*
Record my email address with my response
Tell me a bit about your self
Single
Married
Separated/Divorced
Kids
Clear selection
Did anyone refer you to me?
Your answer
Information about you:
Name, age, where do you live, what do you do.
Your answer
What has brought you to me today? Share a little about your life
Your answer
Are you feeling fulfilled in your life, family, career, education
Your answer
What area's of your life do you feel most dissatisfied with right now and are looking for guidance on
Career/ job change
Relationships (spouse, kids, family)
Health (weight loss, overall health)
Self discovery
Over coming a life challenge
Making a decision about something important
Clear selection
What are the top 3 goals you wish to achieve in the next 6 months
Your answer
What challenges and obstacles are currently preventing you from achieving these goals?
Your answer
If you could change one thing about your life instantly, what would it be and why
Your answer
Describe a moment when you felt fully fulfilled. What were you doing and how did it impact you
Your answer
What beliefs about yourself or your life are holding you back from living how you desire
Your answer
What are the three most important values in your life, and how do they align with your current lifestyle. (google values if you don't have a clear understanding of what they are)
Your answer
What fears have been the most prominent in shaping your decisions and actions in the past
Your answer
How do you define success, personal and work, and do you feel your current path aligns with that definition
Your answer
What are you looking for in a coach to feel supported and motivated
Your answer
On a scale from one to ten, how committed are you to making changes in your life to reach your goals
1
2
3
4
5
6
7
8
9
10
Clear selection
Is there anything you would like to add
Your answer
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