Coaching Questionnaire Form

1. In a few sentences, please describe the Life Decision that you are facing.

2. How important is this decision? Select as many as apply.

A. It is LIFE CHANGING. I need to get it right.B. It is important and the outcome affects me and others.C. This is a DREAM of a LIFETIME opportunity that gives me goose bumps.D. It is important but not earth shattering.

3. If I agree to walk with you arm in arm, give you personal and frequent access to me, plus a written curriculum, are you prepared to spend 3 – 6 months learning a proven, systematic approach to creating the mindset, AND then doing the necessary work, to take you joyfully and boldly to YOUR success?

A. YES!! That is exactly what I need.B. I’m not sure that I can make that big of a commitment. Do you have an abbreviated method?

4. Are you prepared to make a significant financial investment in yourself and the coaching process?

A. Yes. This is a crucial step in my life.B. No. I will explore other options.

I am accepting a limited number of personal clients. Let’s see if we are a good fit. I believe all
relationships must be good for the client and good for the coach.
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