Discovery Form Life Coaching Session with Jill Douka Master Coach at the top 4% of coaches globally 

I am so excited we are doing this coaching session!

On our first call, we will review basic housekeeping, discuss your goals and intentions for coaching, then dive into our work together. We will wrap up with takeaways from the call and co-create some "homework" to integrate your breakthroughs into your life on a deeper level. 

If you would like to continue coaching, my rates begin at €2.000/month for biweekly coaching or €10.000 for biweekly coaching sessions for 6 months so you get 1 month for free. 

I ask for a 6 month commitment to start and am happy to move to a monthly agreement after that.

I work only with people who have the following 4 qualities: they are coachable, committed, decisive and resourceful. 

Kindly fill in the discovery form so that we make the best out of the session. 

Looking forward to supporting you!

You may learn more about me here: here.

Whatever is related with the coaching session we abide with ICF Code of Ethics.  You can see more here

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Email *
Name *
Surname *
Best way to reach me  *
Phone number with code  *
Untitled Title

1. Where are you now in your life?

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2. Where do you want to go?

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3. One out of ten how close are you to your goal? (one being the furthest and 10 being the closest) 

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4. Rate yourself from one to ten in each of the life areas. Ten being perfect, it can’t get any better, one meaning lots of improvement is needed in this area.
Health and exercise *
Spirituality *
Emotional Inteligence *
Personality *
Education *
Career *
Money *
Family *
Social life / Entertainment  *
Intimate Relationship *
Life's vision / fulfilment *
Quality of life *

5. What is one thing you would like to achieve in the next six months that would make the biggest difference in your life?  

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6. What would have to happen in 3 months to show you that you are on the correct path towards your goal? *
7. If you could have more of one thing in your life, what would it be? *
8. What are the top three things you are tolerating or putting up with in your life?
Toleration 1: *
Toleration 2: *
Toleration 3: *
9. How would your life be different if you no longer had the above tolerations? *
10. To increase your enjoyment for life, what are the three key areas for you to focus on for your own personal development?
Area 1: *
Area 2: *
Area 3: *
11. Write down one thing in your work you would like to have but don’t have a clue how to go about getting it. *

12. Assuming all human beings have some way of sabotaging their life or holding themselves back, what would be your favourite method? Choose and rank your three favourite methods and write in any that are missing.

Procrastination *
Indecisive *
Being Arrogant/The Need to be Right *
Not always telling absolute truth *
Acting as the “Lone Ranger” *
Tolerating *
Not saying “No” *
Not saying “Yes” *
Controlling life/people *
Following secondary goals (*i.e. goals that won’t ultimately make me happy) *
Other
Other
13. What would be the most valuable thing you would get from working with me as your Coach? *

14. What do you want from your work?

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15. What type of Coaching are you looking for (you can choose more than one type)?

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Required

16. What do you do when you are up against an obstacle or barrier?

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17. When you are most “stuck,” what can I say that will return you to action?

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18. What is one thing you would like to achieve in the next 6 months that would make the biggest change and bring joy in your life? What would you like the goal to be?

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19. What will have happened in 3 months that would show you that you are on track with your goal? 

 *

20. What do you expect from me in my role as a coach?

 *
21. Are you willing to commit financially over €12.000 in the next 6 months with Master level coaching? *
22. If the answer in question 21 is no, what amount can you invest in yourself?  *
23. Are you willing to commit 4 hours per week working on yourself for the next 6 months?

Thank you for completing the discovery form.

Looking forward to supporting you to take your life to the next level!

Jill Douka MBA, MCC, 2x TEDx speaker


#1 Bestselling and Awarded Author of 3 books, awarded mentor by the European Union, sought after internationally-renowned speaker.

Founder of the Global Academy of Coaching Certificate Accredited, and together with top professors in the world trains high achievers to become exceptional coaches and leaders.

Author of #1 International bestseller Create Love: 7 Secrets to Manifest your Perfect Match, Author of Bestseller How to Create Your Life, Author of Bestseller Suddenly Now, Author of Woman Now.

A copy of your responses will be emailed to the address you provided.
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