Life Coaching Consultation  Questionnaire
The first step to booking your consultation (up to 60 min) is to answer the questions below. Don't overthink this. Go with your first thought, your gut response. Write as much detail as you like.

After reviewing your questionnaire, I’ll reach out to schedule your call. Our conversation will take place either via ZOOM or phone. We’ll discuss what it would look like to work together as coach/client for a period of 9 or 12 months. By the end of the call, you’ll make a decision whether or not to move forward with long-term coaching.

You will automatically receive a copy of your completed questionnaire to the email address you provide below.

I look forward to meeting you.



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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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