Pre-Coaching Questionnaire
Thank you for your interest in working with me! Note that you DO NOT need to sign into a Google account to complete the form. All information will be kept private and is only seen by Dr. Susan. You should normally receive a response within 1-2 business days. I look forward to learning more about you!
Sign in to Google to save your progress. Learn more
Please provide your FIRST AND LAST NAME and your LOCATION (city/state/country)   *
Please provide your email address *
Which of the following ranges best fits your monthly budget for coaching? (if your answer is "none of the above", I would recommend not completing the rest of the survey at this time, as unfortunately there is not currently a program available for you) *
Why would you specifically like to work with me? *
What are three primary results you would like to see in your life or yourself as a result of working together? (Be brief, describe each result in one short sentence or phrase) *
How soon would you like to get started with your coaching program? (i.e. when would you ideally like to get started with your first session?) *
What kind of a timeline are you ready to commit to for your development and progress? i.e. would you be available to meet 3-4 times a month by phone, for the next 3-6 months?  What type of program (frequency of sessions etc.) would work best for you? *
Have you worked with a coach or other professionals in the past to help you reach your goals? (e.g. a personal trainer, counselor, nutritionist, business strategist etc.) *
What days and times during a typical week (Monday to Friday) are best for you to meet by phone for your sessions? (Please include your time zone) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Susan Biali. Report Abuse