MAXX Coaching
Pre-Session Worksheet
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Occupation
Marital Status
Married
Single
Divorced
Widowed
Family Size
No Children
1-3 Children
4+
What motivates you?
How do you tend to sabotage yourself?
How do you best learn? What is your preferred learning style?
How do you release stress?
What do you do "to be good to yourself" on a regular basis?
On a scale of 1-10 with 10 being the best, how would you currently rate how much you are currently enjoying your life?
Why did you rate yourself as such?
What do you identify as your strengths at work and in your personal life?
What areas of your work and/or personal life would you like to improve?
What have you given up on regarding work, family, career, or personal life?
Identify the happiest time in your life. When was it? Why were you happy?
Identify the unhappiest time in your life. When was it? Why were you unhappy?
If you could have anything in the world, what would it be?
What do you want the story line to be for the rest of your life?
What do you want your legacy to be?
Rate Your Current Life
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Family Life
Financial Life
Physical Life
Spiritual Life
Professional Life
Personal Life
Goal #1
Goal #2
Goal #3
Goal #4
Goal #5
What are your "Why's" behind those goals?
Is there anything else that you would like to share before our session?
Submit
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