JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Coaching Assessment
I'm looking forward to helping you discover clarity in your work and home life!
So we can make the most of our time together during your Get Started Call, please complete the Coaching Assessment below. Your answers are strictly confidential, so please answer openly, honestly and as specific as possible.
Kristi
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Email
*
Your answer
What prompted you to consider working with a coach? (choose all that apply)
*
I need to create a better balance between work and home
I want to experience more joy in my life
I want to discover my life purpose
I need to gain more focus at work
I need confirmation I'm on the right track to reach a goal
Other:
Required
Please tell me a bit about yourself, what you do, and what your life looks like now.
*
Your answer
What are you most passionate about? What's most important to you, and why?
*
Your answer
What specific thing are you struggling with right now? What keeps you up at night?
*
Your answer
Name your 3 greatest accomplishments in the past 5 years:
*
Your answer
What's the greatest challenge you've had to overcome to date?
*
Your answer
Name up to 3 goals (personal or professional) you want to accomplish in the next 3 months.
*
Your answer
On a scale of 1-10, where is your stress level right now?
*
1
2
3
4
5
6
7
8
9
10
If you're currently under stress, what do you think is contributing to it?
Your answer
List 5 things you're "putting up with" right now (optional)
Your answer
On a scale of 1-10, how would you rate your satisfaction when it comes to your life at home?
*
1
2
3
4
5
6
7
8
9
10
On a scale of 1-10, how would you rate your satisfaction when it comes to your life at work?
*
1
2
3
4
5
6
7
8
9
10
Business/career opportunities:
Are there any business/career opportunities you're
not
making the most of? If so, why not?
*
Your answer
Personal Aspirations (optional):
What are 3 personal desires you are
not
currently pursuing?
Your answer
Poor relationships:
Is there
anyone
in your life filled with negative energy who makes you feel inadequate? Someone you have to tread carefully around?
Your answer
Energy and Passion:
What gives you
energy
? What motivates
you
?
*
Your answer
Emotions:
When do you feel most vulnerable? What drives you to happy or sad tears?
*
Your answer
Pleasure:
Where is your happy place? What do you enjoy doing the most when at work and at play?
*
Your answer
Stress Release:
What have you found works best to relieve stress?
*
Your answer
Control (optional):
What emotion (anger, fear, anxiety, etc) makes you feel most out of control?
Your answer
What is your single biggest challenge in your career or home life?
Your answer
Sabotage: How
might
you sabotage (get in your own way) your coaching progress?
*
Your answer
How will you know when you're receiving value and/or making progress through the coaching process?
*
Your answer
How can I help you during your sessions? (select all that apply)
*
Help me to discover what may be holding me back from meeting my goal(s)
Help me gain insight into who I am, my strengths, gifts and full potential
Help me set new personal or professional goals
Help me to identify the next steps to reach my goals
Provide me with direct and honest feedback
Make me accountable in reaching my goals
Create an action plan I can use immediately to help me reach my goals
Other:
Required
How committed are you to the coaching process right now?
*
I'm kind of committed to coaching but also busy at the same time. If it doesn't happen right now, I'm ok with that.
I'm committed, but I'm not sure if I can give it my full attention.
I'm committed 100% and soooooo ready for this!
Required
Do you have the resources to invest in coaching right now? I have a 60 minute Clarity Call package available for $149, a 30-day transformational program for $499 and a 90-Day transformation program for $1149.
*
100% yes! I'm interested in meeting a short-term goal and am interested in the 60 Minute Clarity Call
100% yes! I'm interested in working through 1 specific area and interested in your 30-Day Program
100% yes! I'm ready to embark on a complete transformation and interested in your 90-Day program
No, I don't at this time
I'm 100% interested in your 90-day Program and would like a 2 month payment plan please. :)
Required
Is there anything else you'd like me to know?
Your answer
Thank you for completing the assessment. After I review your answers to confirm we'd be a great fit, I'll be in touch so we can schedule a free 20-minute call to discuss all the details!
Kristi
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Kristi Brooks.
Report Abuse
Terms of Service
Privacy Policy