Go2Eleven
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​Ready to go2eleven? 

Hello.

Congratulations on your decision to explore coaching.  

Please take some time to answer this questionnaire below and email your answers to me in advance of our session.  Be as open and honest as you can. Your answers will provide the groundwork for our call and will help me to understand where you are and where you want to be.  

As with any information you choose to share with me (in any coaching setting), your answers will be private and confidential.  ​


You can download this PDF of the questionnaire or simply cut/paste the questions below.
Go2Eleven - Client Profile - Comp
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Client Profile - Questionnaire

First Name:
Last Name:
Email:
Phone Number:

Age:
Occupation:
Title:

Relationship Status:
Children:

What is it that you want to achieve in your work or life this year?

What are you working on to accomplish this? What worked? What didn’t?

In order of importance, list three (3) things that you feel are incomplete in your life right now.


What does wild success look like for you in the next year?

What’s present for you in THIS moment? 


What’s going well? What’s creating that? 

What’s challenging? What’s creating that?

What needs your attention?

What’s meaningful?

What strength’s do you notice in yourself?

​What are you learning?

If all humans have traits/habits that can hamper their life, which ones are yours?  (Circle all that apply.)
 
Procrastination
Indecisiveness
Low self-esteem or self-confidence
Not always telling the absolute truth
Acting as the 'Lone Ranger'
Tolerating rather than expressing
Not saying 'No'
Not saying 'Yes'
Controlling life / people
Following secondary goals (i.e goals that won't make you happy)
Other:            

What do you expect from me in my role as your coach?

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  • Home
  • Coaching Services
  • Get Started!
  • About
  • Yoga