Powerful Coaching Conversation Questionnaire
Answer the questions below to the best of your ability. Don't overthink this. Go with your first thought.

After reviewing your responses, you’ll receive an invitation to schedule your life-changing conversation with Valerie (over ZOOM or phone).

You will automatically receive a copy of your completed questionnaire to the email address provided below.
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Email *
Name *
Profession *
1) On a scale of 1 -10 how satisfied are you with your life right now? *
Not at all satisfied
Thrilled beyond belief
2) What are the 3 biggest changes you want to make in your life by this time next year? *
3) What do you most want to achieve or experience through the process of coaching? *
4) What other support do you currently have? e.g. therapist, good friends, psychiatrist, etc. *
5) What do you think is most blocking you from achieving the desires you listed in questions #2 and #3? *
6) Is there anyone you need to consult with in order to make a decision about working with a coach? *
A copy of your responses will be emailed to the address you provided.
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