Your Beloved House Appraisal
Your life is a house, full of rooms that make up who you are and how you thrive. This appraisal will give you an opportunity to evaluate all areas of your life. We'll review this together on your discovery call and come up with a coaching plan together.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birthday
*
-
Month
-
Day
Year
Date
What led you to explore coaching?
*
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Relationships – The Living Room
What's your relationship status?
*
Single
In a Relationship
Engaged
Married
Divorced
It's Complicated
What is your support system like? Describe your relationships with your friends, family, and significant other if applicable.
*
How content are you with your relationships currently?
Very Discontent
1
2
3
4
Couldn't Be Happier
5
1 is Very Discontent, 5 is Couldn't Be Happier
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Work – The Office
If you're a student, include information about your school, education, classes, etc.
What is your current job situation?
*
How content are you with your job?
*
Very Discontent
1
2
3
4
Couldn't Be Happier
5
1 is Very Discontent, 5 is Couldn't Be Happier
What are your relationships like with your coworkers? Supervisors?
*
What are your strengths and weaknesses in your professional life?
*
Is there anything else you would like me to know?
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Spirituality – The Kitchen
If you do not participate in any religious or spiritual practices, feel free to skip to the next page.
What are your current spiritual practices?
What about your spiritual life feels like it's working right now? What isn't?
How content are you with your spiritual life?
Very Discontent
1
2
3
4
Couldn't Be Happier
5
1 is Very Discontent, 5 is Couldn't Be Happier
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Rest – The Front Porch
What are your rhythms of rest? Daily, weekly, monthly, annually.
*
When do you struggle most with rest?
*
When it comes to rest, rank yourself on this scale.
*
Completely Burnt Out
1
2
3
4
At Total Peace
5
1 is Completely Burnt Out, 5 is At Total Peace
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Self – The Bedroom
How do you feel about your physical health currently?
*
Do you have any mental health struggles or diagnoses?
*
How do you feel about yourself and your life overall?
*
Should be Empty: