Coaching Questionnaire
Name
First Name
Last Name
What is your current morning routine?
How would you describe your current financial situation? Would you like to improve on your financial situation?
How do you take care of your physical fitness?
What is your current diet like? caffeine intake?
Do you consume alcohol, drugs, medication or substance?
Do you have a stable place to live?
Do you feel safe in your current environment?
Do you have a healthy self image? Self esteem?
What are some of your boundaries?
What have you been repressing?
How much time do you spend in nature?
Do you have a meditation practice? What do you do?
Do you currently journal?
What are your current practices for self care and self love?
What is your level of trust? Do you have trust issues or are you generally trusting?
Do you feel connected or disconnected most of the time?
What are a few things you are afraid of?
Do you have any limiting beliefs?
What are some activities and hobbies that bring you joy?
Do you read? What were the last 3 books that you read?
How much TV do you watch? What type of movies do you like to watch? Last 3 movies that you watched.
What type of music do you listen to? Favorite band/singer/musician?
Are you in any kind of scarcity mindset? Or are you an abundant manifestor?
Do you feel mentally or emotionally unstable?
Do you live in fear based living?
Do you neglect your own needs to care for others needs? Or do you have healthy boundaries and self love?
What mental blocks do you have?
How do you honor (or not honor) your own self love practice?
What emotional and social support do you have? Do you have a good circle of friends you can trust that nourish and support you?
Name 3 things you are grateful for.
True or False? Most of the time you feel at peace.
When was the last time you felt a strong sense of security in your life?
How do you express your creativity?
When was the last time you felt passionate, alive and connected to myself?
What parts of myself am I afraid to show others for fear of judgement?
In what ways have you been avoiding self pleasure?
How do you cultivate healthy relationships with food and sex to support my emotional needs?
Do you have healthy sexual dynamics and partners?
Has shame, guilt or fear kept you from expressing yourself fully and sexually?
What experiences can you try that will push you outside of your comfort zone and bring more excitement to your life?
Do you embrace your emotions without judgment or criticism?
How can you let go of conformity and live a more authentic life?
How do you use your creativity to express your emotions, feelings and desires in a healthy way?
When was the last time you felt truly relaxed, embodied and present in your body?
In what ways have I been disconnecting from my intuition or inner guidance system?
What healthy boundaries do I need to create to honor my needs an desires?
What creative hobbies do you enjoy? music? art? writing? singing? playing?
When do you feel most confident?
Do you believe you can achieve your goals and dream? If not, what is holding you back?
What are your goals and dreams?
Is your mindset pessimistic or optimistic?
How would the people closest to you describe you? In their eyes, what makes you special?
Describe yourself as if you were introducing yourself to a stranger. List all the positive attributes that make you awesome.
What brings me joy in my everyday life?
In what ways am I a driven and motivated person?
At this stage in my life, do you feel aligned with your purpose? Do your actions reflect your purpose? or do you feel a lack of purpose?
List 10 things that make you happy, fill you with joy, or make you feel important and needed. Can any of these things be tied to your purpose?
How do you handle criticism?
Do you consider yourself an open minded person?
How do you show kindness and compassion?
When have you experienced deep connection with another person?
Do you have healthy or unhealthy attachment? Do you know your attachment style?
Do you have abandonment issues?
What are your parents like? Siblings? How was your upbringing?
Do you choose friends that are positive influences?
Do you live with an open heart?
Are you vulnerable or are you mistrusting and unable to receive love?
Are you fully present? Or do you tend to be in your head more often?
Do you suffer from ptsd, anxiety, depression or insomnia?
Do you have wounds with women?
Do you have wounds with men?
What is your sexual orientation?
Do you choose healthy relationships?
What are you looking for in a partner?
Do you live in the present moment? Or do you live in the past? Or in the vision of a future date or occurrence?
How do you practice balance?
Are you authentic or do you follow the crowd?
Do you speak your truth without fear?
What does authentic self expression mean to you?
How can you approve your communication skills?
How can you improve your active listening skills?
What are some of your core values?
How are you in tune (or not in tune) with your intuition ? Do you trust your intuition?
Do you have (do not have) cognitive dissonance?
Do you have a healthy imagination?
Are your ideas clear or scattered and unorganized?
Do you have a busy mind? Or do you have no problem clearing your head?
How do you differentiate the difference between ego and intuition?
How do you differentiate the difference between ego and intuition?
How would you describe your connection to source/god?
Are you religious?
are you in alignment with your highest spiritual path?
How do you serve society and your community?
What is your relationship with the mysteries of the universe?
What is your relationship with manifesting?
Do you experience vivid dreams? Can you remember them? What do they mean to you?
What are some ways you can strengthen your connection to nature?
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