Coaching Background Form
Name
First Name
Last Name
Preferred contact (phone number/email)
Tell me about your personal background. Where are you from, where did you grow up, describe your family, and any other details that you'd like to share.
Tell me about your professional background. What has your career looked like? What do you like about your current role? What don't you like about your current role?
What are your current goals? These can be professional, personal, financial, or a combination.
Why have you decided to work with a coach? Why now? Is there something that is causing this to be urgent?
Have you worked with a coach before? If yes, how was your experience?
What does your coach need to know in order to coach you best?
What mental or physical health history should your coach be aware of? (Please be sure to include any traumatic experiences you have experienced)
Are you currently dealing with any depression, family trauma, grief or other trauma? If yes, please describe.
Submit
Jamie V. Smith (Leadership Coach) trained by Emerge Counseling and Destination Leadership
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