Coaching Form

1
Let's start with a small introdution, what's your name?* This field is required.
2
Nice to meet you {name5}, how is your day going?
Terrific
Not so well...
Ok
3
Tell me {name5}, what is the best way for you to learn?* This field is required.
Reading
Visual
Seminars
Activities & Games
Workbooks
Slow & Distributive
Fast-paced
Task-based
Other
4
Cool! would you mind telling me what motivates you?* This field is required.
Failure
Having a clear plan
Negative Feedback
Positive Feedback
Constructive Criticism
Chaos
When the time is right
Last minute deadline
Goal-Orientation
Following a plan
Other
5
Interesting! What aspects of your career/passion do you enjoy, and what do you wish you could change or stop entirely?* This field is required.
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Ok
Ok
6
Ok {name5}, I would like you to focus on and take your time to think of the following question.
In case you need more explanation, come back to this slide and check the link below. But first try to answer the question first.
Wheel of Life
7
On a scale of 1 to 5, where are you currently in ...* This field is required.
HEALTH
FAMILY & FRIENDS
ROMANCE
PERSONAL GROWTH
FUN & RECREATION
FINANCE
BUISNESS / CAREER
PHYSICAL ENVIRONMENT
FINANCE
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HEALTH
FAMILY & FRIENDS
ROMANCE
PERSONAL GROWTH
FUN & RECREATION
FINANCE
BUISNESS / CAREER
PHYSICAL ENVIRONMENT
FINANCE
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8
On a scale of one to 7, how good is your mental state and support system in your life to start achieving your goals?* This field is required.
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9
On a scale of one to 7, how severe/serious/urgent to start setting goals, create a plan, and change your mindset?* This field is required.
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10
What would happen if you did nothing now?* This field is required.
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Ok
11
So, when you are absolutely honest, what would be the most challenging part in your professional/passion in life* This field is required.
Personal Life
Procrastination
Too many projects
Jack of all Trades
Lack of Motivation
Goal Setting
Self-Actualization
Lack of Tools
Lack of proper Network
Doing everything myself
Life-Work imbalance
Other
12
Let us set our first appointment* This field is required.
13
Great, I am so excited to be your thinking partner {name5}, would you mind giving me your email
example@example.com
14
Do you have any questions or requests or notes?
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Ok
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