1:1 Coaching Application
Sign in to Google to save your progress. Learn more
Email *
What significant (to you!) life, career, family, lifestyle, or identity changes are you considering? 

In other words, in what ways do you want your life to look, feel, or be different?

Please describe.
What are the biggest barriers to implementing the change you mentioned above? Please describe.
What (if anything) have you tried to begin implementing this change? What was the outcome?
What kind of support do you need to successfully implement this kind of change? Please describe all relevant factors.

(Example: Validation, accountability, help envisioning my future, help with developing self-trust, etc.)
Why do you want to coach with me right now? Why me, why now?

Besides yourself, will anyone else be involved in your decision to invest in coaching? (e.g., spouse, partner, family)

Describe what isn't working for you in your life right now. What doesn't feel right? What are you struggling with the most?

(Example: I'm feeling unfulfilled at my job and it's affecting all other areas of my life.)

What do you want more of in your life?

What do you want less of in your life?

What do you honestly feel is holding you back from being where you want to be in your [life, career, relationship, lifestyle, identity] right now?

How would you like your life to be different in:

6 months?

1 year?

5-10 years?

Consider how you want your life to look and feel: Are you in a different job or relationship? Have you developed as a person in a particular way? How does that life feel to you?

What results or outcomes would you like to see as a result of our coaching together? Please be as precise, specific, and detailed as possible!

Have you ever worked with a coach before? If so, describe your experience:

By checking this box, I certify that I am ready to make this investment in my future:

 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Meg Trucano.

Does this form look suspicious? Report

Google Forms