Pre-Enrollment Coachability Assessment

Pre-Enrollment Coachability Assessment

All information is kept in strict confidence
The following section is designed to gauge your personality traits with respect to your processing and response characteristics. Please take your time, answer honestly, and answer based on your current state.
Please Attest The Following Statement To Continue *

I Promise To Answer Any and All Facets To This Assessment Honestly & To The Very Best Of My Ability

Section1
PERSONAL INFORMATION
Full Name *

First Name Middle Name Last Name
E-mail *
example@example.coml
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Which Area Of Life Are You Seeking Coaching? *

Entrepreneurial Spiritual Life

Section 2
CONDITION, PERSONALITY TRAITS, & SUBCONSCIOUS PROCESSING
The following section is designed to gauge your personality traits with respect to your processing and response characteristics. Please take your time, answer honestly, and answer based on your current state.

Slide The Scale To The Number That Most Accurately Depicts Your Current State.
- 1=False, Strongly Disagree, Or This Does Not Decribe Me
- 4=Neutral State Or Depends On The Situation
- 7=True, Strongly Agree, Or This Adequately Describes Me
I Feel I Have Negative Energy Built Up Around Me *

I Have An Antagonistic Personality *

I Frequently Engage In Arguments & Fights *

I Always Need To Prove My Point In Discussions *

I Tend To Defend My Actions, Even In Error *

I Actively Work To Release/Expel The Bad Energies *

I Spend More Time Combating Bad Energy Than Developing Good Energy *

I Am Concerned About The Personal Energy I Carry *

I Am Concerned About How People View Me *

I Would Like To Learn How To Transform My Energy *

I Have Dreams & Aspirations I Have Abandoned *

I Feel Stuck *

I Am Ready To Get Unstuck *

I Am 100% Willing To Do What It Takes To Transform And/Or UnStick Myself *

I Am Satisfied With My Career Choices *

I Have A Clearly Outlined Vision For My Life *

I Often Get Overwhelmed About My Future *

I Feel Lost *

I Feel Broken *

I Have Anxiety About My Life In It's Current State *

I Have Always Had Anxiety *

I Believe I Need Guidance To Access New, Higher Levels I Would Like To Reach *

Depression Has Been Frequent In My Life *

My Family Is Very Supportive Of My Life Choices *

My Family Knows My True Dreams & Aspirations *

My Family Encourages Me To Reach My Dreams *

I Have Incredibly Positive Family Influences *

I Often Seek Advice From Family Members *

Without My Family's Say So, I Rarely Act On A Desire *

I Am Impulsive *

I Have Lots Of Friends *

I Generally Seek Advice From My Friends Before Taking An Action *

I Have Access To Individuals Who Positively Encourage Me To Meet My Potential *

I Am In Positive Spiritual Condition *

I Am Very Religious *

I Equate My Religious Practice To My Spiritual Relationship *

I Speak Daily Affirmations *

I Pray Daily *

I Respect The Beliefs And Practices Of Others Even Though I May Not Believe In Them *

I Am Motivated & Inspired To Live My Life *

I Have A Role Model *

I Like To Read *

I Read Multiple Books In A Year *

I Would Like To Practice Reading More *

I Normally Finish Any Book I Start *

I Normally Finish Any Project I Start *

I Am Very Influential To Others *

I Am Afraid To Own My Own Business *

I Have Considered Owning My Own Business In The Past *

I Actually Desire To Own My Own Business *

I Lack Understanding In How To Move Forward *

I Consider Myself A Leader *

Other People View Me As A Leader *

I Feel Anxiety About Leadership *

I Feel I Have Failed In My Capacity As A Leader *

I Would Like To Learn More About Effective Leadership *

I Would Like To Gain A Better Perspective Of My Life & Its Direction *

I Am Ready To Do The Work It Takes To Acheive New Results To Move Forward *

I Truly Feel Positive About My Life *

I Am Excited To Wake Up Each Day *

I Do Not Snooze My Alarm Each Morning *

I Want To Be Happier *

I Feel In Control Of My Life *

I Want To Be In Control Of My Life *

I Want To Transform My Life NOW *

I Desire To See A Radical Shift In My Life & I Am Ready To Make The Transfomation *

I Take Direction Well & I Listen To Guidance Offered To Me *

I Am Ready & Willing To Do The Work For My Transfomation *

I Am Fully Responsible For My Own Life And The Decisions I Make. *

I Understand My Need For A Life Coach & I Am Ready To Invest In Myself To Transform My Life *
What Are You Willing To Invest To Acheive Your Goals & Freedom? (Type Answer Below) *

If Selected As A New Client, You Agree To Work, Interact, & Progress With Honor & Intergity For Yourself & The Process? (Type Answer Below) *

Please Validate The Following Statement To Be True *

I Certify That To The Very Best Of My Knowledge And Abilities, I Have Completed All Facets Of The Assessment, Honestly & With Good Intent.

Thank You For Your Transparency
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