RatedXYZ 2-1 Life Coach Request Form
Full Name:
First
Last
Occupation:
Job Title:
E-mail:
Phone:
Age:
Gender:
Male
Female
Prefered Days of Sessions
Prefered Time of Sessions
What is your budget for Life Coaching?
Have you previously worked with a life coach?
Yes
No
If so, please explain.
Our sessions involve two Life Coaches:
Do you prefer one coach or two coaches?
One Coach
Two Coaches
What motivated you to seek life coaching at this time?
What are the main areas in your life that you would like to improve or focus on?
(e.g., career, relationships, health, personal growth)
Describe any specific goals you want to achieve through life coaching.
How would you describe your current state of well-being and happiness?
What are some obstacles or challenges you are currently facing?
Which of the following best describes your spiritual belief system?
Religious
Spiritual but no religious
Agnostic
Atheist
Other
Do you believe that spirituality plays a role in your overall well-being?
Yes
No
Please, explain.
How do you usually cope with stress and challenges in your life?
Where do you see yourself in the next 6 months to a year?
Do you have any specific preferences or expectations for your life coaching sessions?
Is there anything else you would like your life coach to know about you or your situation?
Do you know anyone that would be interested in life coaching?
Yes
No
If so, please list contact information.
In order to provide the best possible coaching experience. Do you consent to audio and video recorded sessions?
Yes
No
How to did hear about RatedXYZ?
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