Discovery Session Questionnaire

Email address *
Full Name *
Your answer
Phone *
Your answer
Time Zone *
Date of Birth *
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DD
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Relationship Status *
Number of Children *
Your answer
Job title/Business description *
Your answer
What inspired you to reach out and seek life/relationship coaching? *
Your answer
What is the main area of struggle or concern in your life and/or relationship(s)? *
Your answer
Describe your ideal relationship. What does it look like? What does it feel like? Please be as descriptive as possible! *
Your answer
In your relationship(s), is your greatest need to be cherished for your feelings or respected for your thoughts? *
Your answer
What self and/or relationship improvement work (i.e. books, courses, coaching, seminars, mentors, etc.), if any, have you previously done and what was your experience like? *
Your answer
On a scale from 1-10, how ready are you to invest in changing your results in your main area of struggle in your life and/or relationship(s), on a mental, physical and emotional level? *
Your answer
Up until now, what has kept you from experiencing optimal results in your relationship(s)? What do you think the underlying, REAL reason is? Please be honest! *
Your answer
If nothing changes, where do you see yourself 3 years from now? *
Your answer
At this present moment, what is your top priority and goals toward achieving your ideal relationship? What are you willing to change to achieve your ideal relationship? *
Your answer
What are your current spiritual practices, beliefs, affinities (formal or informal)? If you have none, are you willing to be opened to learning? *
Your answer
Are you currently facing any health challenges or recently recovered from something health related? *
Your answer
What is the best thing that could happen if you invest in your yourself and your relationship(s)? *
Your answer
What one thing do you want MORE of in your life right now? why? *
Your answer
What one thing do you want LESS of in your life right now? why? *
Your answer
How do you like to be supported when hitting challenges in your life (have a good listener; strategize with someone; work with a devil’s advocate, work with guided visualization, journal, etc. If you’re not sure, you can write that too.)? *
Your answer
Where do you see yourself one year from now? *
Your answer
What is one fun fact I should know about you? *
Your answer
Once your discovery session is scheduled, you will receive all the details on how to access your call. I am making a commitment to show up and be fully present for you. To confirm that you are making the same commitment in return, please type the following, "Yes, I promise to show up on time for my discovery session and be present on the call." *
Your answer
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