Complimentary Coaching Questionnaire
Pamela helps entrepreneurs, professionals and organizations achieve their goals strategically
Name *
Email *
Phone Number *
Occupation or Name of Business *
Name of Employer or Services Provided *
Marital Status *
Tell me about your home life: (children, grandchildren, ages, additional responsibilities, support system) *
Daydream for just a moment...One year from today, what does your life look like? What's your ideal life? *
List specific goals you are ready to make happen: *
What have you tried, so far, to help you meet your goal(s)? What results have you achieved? *
What's holding you back from achieving your goal(s)?What hurdles are you running into? Please share. *
What new skills would you like to learn? *
What results are you seeking in working with a coach? *
Have you worked with a coach? If so, describe your experience and outcome: *
List your top 5 strengths *
List your top 5 opportunities (weaknesses) *
Is there anything else you would like to share? *
How did you hear about Pamela? *
Would you like to join our digital email community to receive personal, professional, leadership & business development information? *
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This form was created inside of Powerhouse Unlimited LLC.