Coaching Program Questionnaire

Name

First NameLast Name

What are the 3 biggest changes you want to make in the next year?

What are 3 goals you would like to achieve over the next year?

If anything was possible what would you wish for?

What have been your 3 greatest successes to date?

What is the greatest challenge you have had to overcome?

What major changes have you been faced with over the last couple of years?

What is most important to you in your life and why?

Who are most important to you in your life- what did they provide you with?

Is your life one of your choosing? If no who is choosing it for you?

On a scale of 1-10 how happy are you with your life right now? What are the things that make you happy?

On a scale of 1-10 how motivated are you in your work/personal life? What motivates you?

On a scale of 1-10 how stressed do you feel right now in life- what are your key stressors?

List 5 things that you feel you are ‘putting up with’ right now?

What would you like your coach to do, if you struggle with your goals?

How will you know when you are receiving value from this coaching program?

What approaches motivate and demotivate you?

What would you like from your coach during your sessions; score on a scale of 1-10 where 1 is not at all important and 10 is extremely important:

Gaining clarity over issues

Helping to increase my financial gain

Understanding what is important/what motivates me

Exploring and understanding what is holding me back

Gaining an insight into who I am, my strengths, capabilities and potential

Providing encouragement and support

Helping define goals

Helping to identify action and next steps

Challenging you with difficult questions

Providing honest and direct feedback

Making you accountable for your goals