Your Purpose Pathway
Discover Who You Are Created to Be
Getting to Know You
Client's Name
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First Name
Last Name
Client's Phone Number
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Client's Email Address
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example@example.com
Client's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
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Month
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Day
Year
Date
Occupation
Marital Status
Single
Married
Divorced
Widowed
How would you rate your overall life satisfaction right now?
Worst
1
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5
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9
Best
10
1 is Worst, 10 is Best
What aspects of your personal life are currently thriving?
What aspects of your personal life are currently challenging?
What is most important to you in your life right now?
How satisfied are you with your current vocation?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Previous Experiences and Current Context
What are your primary goals for pursuing coaching right now?
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Have you worked with a life coach before, and if so, what was your experience?
Have you been or are you currently in counseling or therapy? If yes, please explain:
Goals & Motivations
What dream or passion would you like to clarify or discover?
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What have you done in the past to pursue this dream or purpose?
What obstacles did you encounter while pursuing your dream?
What are your motivations for finding your purpose?
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Please tell me what you most hope to accomplish with our coaching sessions regarding your purpose?
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What would your life look like six months from now if you choose to pursue your purpose?
What would your life look like one year from now if you choose to pursue your purpose?
What has helped you achieve your goals in the past?
What might happen if you don’t work toward your goals?
Christian Practices and Commitment
What Christian practices (e.g., prayer, meditation, scripture) are you comfortable including in our sessions?
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Are you able to commit to homework, such as journaling or assessments, outside of sessions?
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Decision-Making and Self-Perception
How do you feel your faith influences your personal and professional decisions?
Do you typically act quickly on decisions or take time to reflect before moving forward?
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What do you consider to be your greatest strengths? How will these relate to reaching your goals?
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Barriers and Support Systems
Please share the challenges and obstacles you are currently facing achieving your goals
How did you manage this challenge or how did you overcome it?
What fears or doubts hold you back from pursuing your goals?
What do you typically do when you become “stuck” in pursuing a goal?
Who in your life most supports your personal and professional goals?
What Else?
What else should I know about you to support your coaching journey?
Signature
Date Signed
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Month
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Day
Year
Date
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