Coaching Questionnaire

One-on-One Coaching

Congratulations on taking the first step! The value of private, transformational coaching is being able to receive personalized and customized guidance and advice for YOUR specific desires, business goals and personal challenges. Coaching will maximize your potential and therefore unlock a source of creativity and productivity you may have not have known was inside you. Apply to work one-on-one with Greiris, share more about the program, answer questions, and ensure you’re a good fit. Please expect to hear back from us within 24-48 hours.
CLIENT PROFILE
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Employment Information
Occupation
Personal Information
As your coach it is important for me to understand how you view the world in general

and yourself in particular.

Every person has their own unique and personal way of interacting with their surroundings.

These questions will hopefully provide a means for me to understand you and your

current position more closely and thus enable me to coach you to bring out your best.

Please take some time to answer these questions as thoughtfully and clearly as

possible. These questions are designed to be “mulled over” and to stimulate your

thinking on items that may in the past been automatic in the past.

If you have any queries please let me know and we can discuss them.
How does what you do professionally contribute to achieving your personal goals?
If you could change some aspects of your professional situation what would you choose to change?
What do you consider to be your greatest accomplishments so far?
What activities have meaning and heart for you?
Do you know your preferred style of learning? If so, what is it?
What do you believe to be your most important values? Do you believe you are living congruently with these values?
How do you respond when you are in a really challenging situation?
What three steps could you take immediately that would make the greatest difference in your current siutation(s)?
Goals
What are your top 5 goals, either short or long term, at the moment?
Challenges
What are your top 5 challenges at the moment?
Coaching
What are your major objectives or gains that you wish to achieve from coaching?
What can I say or do when you are “stuck” that will help you return to action?
How do you want me to be as your coach?
Please describe your desired outcomes - why are you seeking coaching??
What else would you like to say?
Thank you!

Greiris Diaz
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One-on-One Coaching

CLIENT PROFILE

Employment Information

Personal Information

Goals

Challenges

Coaching