So that we get the maximum benefit from our first coaching session, it can be helpful if you complete the following questions. Please enable JavaScript in your browser to complete this form.Name *FirstLastYour DetailsIf you haven't already provided these, please let me have your contact, email and telephone details.What are the 3 primary results you would like to see in your life or yourself as a result of working together? (One short sentence for each)What 3 goals do you want to achieve within the next 3 months?If anything was possible what would you wish for?What have been your 3 greatest successes to date?What is most important to you in your life and why?On a scale of 1 -10 how happy are you with your life right now? Selected Value: 1 10 = most happyWhat are the things that make you happy? What impedes your happiness?On a scale of 1-10 how motivated are you in your work/personal life? Selected Value: 1 10 = most motivatedWhat motivates you? What demotivates you?On a scale of 1 -10 how stressed do you feel right now Selected Value: 1 10 = most stressedHow will you know when you are receiving value from the coaching process?And rate each area below from 1 to 10 on how important this is to you in our coaching sessions:Gaining clarity of issues Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Understanding what is important /what motivates me Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Exploring and understanding what is holding me back Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Gaining an insight into who I am, my strengths, capabilities and potential Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Providing encouragement and support Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Helping define goals Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Helping to identify action and next steps Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Challenging you with difficult questions Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Providing honest and direct feedback Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Making you accountable for your goals Selected Value: 1 What would you like from your coach during your sessions: score on a scale of 1 -10 where 1 is not at all important and 10 is extremely important:Submit
