Jerico Mandybur Coaching Questionnaire
THANK YOU so much for considering me as your coach and CONGRATS on making the decision to commit to your self development. I would love the opportunity to get to know you better and for you to tell me openly and honestly (dig deep!) about what you would most like to achieve from working with a coach, so I can assess whether a coaching series is a fit for us, and what it might look like. This is a safe space to speak your truth—nothing is off limits here!
Name *
Your answer
Email address *
Your answer
Birth date *
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Gender pronouns e.g. She/Her
Your answer
Are you interested in a 3-month coaching series or a 6-month coaching series? *
What do you want to get out of coaching? Don’t be afraid to say the big goal/s you're secretly hoping will happen. *
Your answer
What's your biggest dream for a fulfilled life? What's holding you back from that right now? *
Your answer
What are you loving about your life right now? What’s not so hot? *
Your answer
How would you describe your super strong points? What do you think needs tweaking? *
Your answer
What does "self care" look like for you right now? How would you rate your self care practices (1o being excellent and 1 being non-existent)? *
Your answer
What's missing from your life right now? The thing you want to have happen or that keeps tugging at your heart; wanting you to acknowledge it and give it time and love. *
Your answer
What are you doing INSTEAD of cultivating that missing thing? *
Your answer
How does your inner negative voice sabotage you? *
Your answer
What talents or passions do you have that you are not using right now? *
Your answer
Do you believe in a higher power, and what language resonates for you to describe it? E.g. The universe, God, Goddess, love etc. *
Your answer
How do you currently engage with your spirituality in your life, if at all? What tools, practices etc.? *
Your answer
What kinds of mental/alternative health professionals are you currently working with, if any? *
Your answer
Is there anything you really want to tell me? A question or area you hope I won’t ask you about, but secretly, you want me to? *
Your answer
What drew you to wanting to work with me, specifically? *
Your answer
Finally—how do you want to ~feel~ at the end of your coaching series? Dig in deep. Feel. *
Your answer
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