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Dr. James N. Hassell: Pre-Coaching Assessment
Website:
http://www.DrJamesNHassell.com
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Email
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Name:
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Home Phone:
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Cell Phone:
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Email Address:
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Current Address:
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Occupation/Business Type:
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DOB
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YYYY
Gender:
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Additional Information:
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(Seniors/Military/etc.)
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Were you referred by anyone?
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GOALS AND EXPECTATIONS
In your own words, why do you need a Coach?
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How will you know when you are receiving value from the coaching process?
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What approaches motivate /demotivate you?
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What would you like your coach to do if you struggle with your goals?
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List 5 things that you feel you are ‘putting up with’ right now
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What are the 3 biggest changes you want to make in your life over the next 5 years?
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What 3 goals do you want to achieve within the next 3 months?
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What have been your 3 greatest successes to date?
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What is most important to you in your life and why?
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Who are the most important to you in your life – what do they provide you with?
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Is your life one of your choosing? If not, who is choosing it for you?
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