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Goal-Clarifying Coaching Questionnaire

Is coaching right for you, now or in the near future?

This assessment is for you to find out. Write out what you hope for, what you imagine will be different for you if we worked together, and how ready you are to get started.

Whether you are at the very beginning of your journey or have taken action on behalf of your dreams, this assessment can help illuminate where you are in your process and your present desire for growth and transformation.

1. What is your current focus for change right now?

Please enter an 'other' value for this selection.

2. In terms of your focus, say a bit about what your hopes, goals and dreams are. Whether you are laser clear or somewhat fuzzy, start from where you are. *This question is required.

3. If you have more than one goal listed above, which seems the most important or pressing and why? *This question is required.

4. What have you already tried that has and hasn't worked to help you in achieving your goal? *This question is required.

5. How do you hope/imagine your life will be different after 6 months of coaching? What would you no longer be doing? How might you be living and thinking differently? Not sure? Take a wild guess! *This question is required.

6. From 0-5, how ready are you to get started on reaching your goal?

7. Anything else would you like me to know about you and what coaching could help you achieve? *This question is required.

If your responses give you the feeling that, "Yes! I'm ready to learn more about coaching with you and how we might work together," fill out your contact information below and I'll be in touch in 48-72 hours.

8. Your contact information *This question is required.

First Name

Last Name

Company Name

City

State

Zip

Country

Email Address

Phone Number

URL

Never enter passwords or other sensitive information on this form. Report Abuse

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