This is a Self-Guided Discovery Questionnaire, much like an actual coaching session.

Please take your time completing this and at the same time - give answers that come to you immediately.  This exercise prompts self-awareness and discovery about unmet needs in your life.  I will review your answers and send you a personalized email response.  The information you submit is strictly confidential and is accepted without judgement.  Thank you for doing this work!

* 1. Please share your contact information with me.  I will reply to you with a personalized email response after reviewing your survey answers.

* 2. Imagine it is 90 days from today and things are dramatically different in ways you are pleased about. What would be different?  What would be happening?

* 3. Name three specific goals that you would like to achieve in the next 90 days. What would be the impact on your life when you reach each of these goals?

* 4. Which one of the three is realistic, achievable and holds the most power?  How will you know you have been successful?

* 5. When (or how) have you successfully changed an aspect of your life in the past?

* 6. How confident are you in your ability to successfully make the changes you desire today?

* 7. What single factor could keep you from reaching your goal?

* 8. What inner strengths, resources and support system do you have in place to help you achieve your goals?

* 9. If you could do anything to make this change a reality in your life, what would it be?

* 10. Which option is realistic and feels like the best next step?