New Client Questionnaire Name * You have my word - your personal information will be protected with my life! First Name Last Name Email * Cell Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Have you worked with a coach before at any point? * What do you expect to gain from the coaching sessions? How will you know when you're seeing results from the coaching sessions? * So far in your life, what do you feel are your biggest accomplishments to date? * Tell me about the hardest thing you've had to overcome in your life and how you overcame it. * Which things stress you out the most? * Please describe your current self using 5 different adjectives. * What are the three biggest changes you'd like to make in your life within the near future? * On a scale of 1 to 10, how motivated are you to successfully make those changes? * Where do you get your energy – what motivates you? What are your passionate about? * How would you rate your happiness on a scale of 1 to 10? * Describe your biggest fear(s). * Rank your TOP FIVE priorities in your life * Tell me what a perfect day or week would look like for you. * Top three emotions you feel most often? How would you describe them? * What are you most proud of in your life? * Anything else you'd like me to know? Thank you!
