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Fear Less Coaching Initial Assessment
The goal of these questions is to help give you an idea of what we may talk about during our first coaching session. While we may not cover every single question, going through them will help prepare you to cover as much ground as possible for our first meeting. This means you are free to simply look over the form, answer some of the questions, or all of them. Please provide as much information as you want and/or feel comfortable with, there is no correct way to go through this list.
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1. First and Last Name:
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Please include phone number and email if responding to online form.
Your answer
2. What do you expect from coaching?
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3. What are your personal goals?
Your answer
4. What are your professional goals?
Your answer
5. What are your biggest fears?
e.g. failure, rejection, missing out, change, losing control, getting hurt, etc.
Your answer
6. What inner conflicts do you wrestle with?
Consider how these conflicts may impact the decisions that you make.
Your answer
7. What does success look like to you?
What obstacles are you looking to overcome?
Your answer
8. What life transitions have you just experienced, are experiencing, and/or anticipate to experience?
e.g. change in job/career, start/end of a relationship, moving/relocation, finishing school, loss, etc.
Your answer
9. How much time are you spending on things that are important to you? What are those things?
Your answer
10. What are you spending time on that you would rather not?
Your answer
11. What is working well in your life right now?
Your answer
12. How is the balance between your work, home life, and social circle?
Your answer
13. Do you feel fulfilled in your work life? Home life? Social circle? Why or why not.
Your answer
14. What are your values, or the things that you value most?
Your answer
15. What are the most important aspects of your background or identity?
Your answer
16. Are any aspects of your background or identity causing distress or concerns for you?
Your answer
17. What have you tried to address any of the fears, problems, or concerns you may have mentioned?
Your answer
18. What are your current hobbies?
Your answer
19. Do you have any spiritual and/or introspective practices? How important are they to you?
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20. What is your exercise routine and intensity?
Your answer
How would you rate your nutrition/diet?
Extremely Unhealthy
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Extremely Healthy
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How would you rate the amount and quality of sleep you get?
Little Sleep and Fatigue
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5
Lots of Sleep and Well Rested
Clear selection
How would you rate the amount of rest/free time you have?
I have no time for myself
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5
I have more than enough free time
Clear selection
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