Life Coaching Questionnaire

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I am so excited you're here. It is an honor to be on this Journey with you...

Please fill out this form prior to our (free) 30 min over-the-phone consultation.

Email *

Your Name:

Your Pronouns (she/he/they):

Phone number:

How did you hear about me?

What times are you available for our Consultation call?

Please select all that apply. If we've already met or scheduled, disregard this question.

Morning

Midday

Afternoon

Evening

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What results are you hoping to gain from life coaching with me?

Are you aware of the ways you sabotage yourself? If yes, what are some of them?

Are you aware of the ways others sabotage you? If yes, what are some of these?

If you could “have it your way” (genie lamp status) what would your Life look like in 3 years?

Are you willing to change? Explain:

Are you ready to change? Explain:

Are you able to change? Explain:

How devoted are you (in this current life phase) to your transformation and happiness?

It's complicated :/

Ready! :D

Clear selection

What are your top 3 favorite traits about yourself? Be as brief or extensive as you’d like.

Any other comments and/or questions?

Thank you for your time. I look forward to working with you...

Send me a copy of my responses.

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