Welcome to Coaching. Please complete up to 24hours before our session.

This time is all about YOU.

The focus, helping unlock your potential.

Helping you be a better you.

Studies have shown that every single gold medalist in the last 3 Olympic Games have used coaches regularly. Most high performing executives use coaches. Within months of hiring my first professional coach for 'Life Coaching' topics, I ended up on TEDx. Coaching is for those wanting more out of their life.

In order for you to get great results, please take maybe 10-15 minutes to complete these questions honestly. It's all 100% confidential, safe and judgement free.

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1. What is really keeping you awake or causing you grief? What is the biggest problem/obstacle right now?

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2. Do you have any specific goal/s, issue/s or agenda/s to resolve/meet?

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3. How will you know when you have achieved a desirable outcome?

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4. How would you rate your competence, confidence, attitude towards achieving this outcome?

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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5. Quick Wheel Of Life. Please take less then 2 minutes and feel free to use the N/A column.

	Not Happening				Perfectly Fulfilled	N/A
Health	Health Not Happening	Health	Health	Health	Health Perfectly Fulfilled	Health N/A
Wealth	Wealth Not Happening	Wealth	Wealth	Wealth	Wealth Perfectly Fulfilled	Wealth N/A
Happiness	Happiness Not Happening	Happiness	Happiness	Happiness	Happiness Perfectly Fulfilled	Happiness N/A
Daily Energy Level	Daily Energy Level Not Happening	Daily Energy Level	Daily Energy Level	Daily Energy Level	Daily Energy Level Perfectly Fulfilled	Daily Energy Level N/A
Satisfying Social and Work Relationships	Satisfying Social and Work Relationships Not Happening	Satisfying Social and Work Relationships	Satisfying Social and Work Relationships	Satisfying Social and Work Relationships	Satisfying Social and Work Relationships Perfectly Fulfilled	Satisfying Social and Work Relationships N/A
Satisfying Intimate Relationships	Satisfying Intimate Relationships Not Happening	Satisfying Intimate Relationships	Satisfying Intimate Relationships	Satisfying Intimate Relationships	Satisfying Intimate Relationships Perfectly Fulfilled	Satisfying Intimate Relationships N/A
Career or Entrepreneurial Progression	Career or Entrepreneurial Progression Not Happening	Career or Entrepreneurial Progression	Career or Entrepreneurial Progression	Career or Entrepreneurial Progression	Career or Entrepreneurial Progression Perfectly Fulfilled	Career or Entrepreneurial Progression N/A
Spirit, Self Actualization, or Inner Self	Spirit, Self Actualization, or Inner Self Not Happening	Spirit, Self Actualization, or Inner Self	Spirit, Self Actualization, or Inner Self	Spirit, Self Actualization, or Inner Self	Spirit, Self Actualization, or Inner Self Perfectly Fulfilled	Spirit, Self Actualization, or Inner Self N/A

Other (please specify)

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6. Our next appointment time is:

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7. Your details

Preferred Name:

Skype/Wechat/Whatsapp:

Phone Number:

Email:

Thank you very much. I really appreciate you playing at 100%, committed and enthusiastic.

Please feel free to connect or contact me through any of these networks:
www.Adriancahill.com
www.linkedin.com/in/Adriancahill
www.facebook.com/Adriannqld
www.twitter.com/Adriannqld
Skype/WeChat/Whatsapp: Adriannqld
Telgram/Signal/Phone: +61432170578

Question Title

* 1. What is really keeping you awake or causing you grief? What is the biggest problem/obstacle right now?

Question Title

* 2. Do you have any specific goal/s, issue/s or agenda/s to resolve/meet?

Question Title

* 3. How will you know when you have achieved a desirable outcome?

Question Title

* 4. How would you rate your competence, confidence, attitude towards achieving this outcome?

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* 5. Quick Wheel Of Life. Please take less then 2 minutes and feel free to use the N/A column.

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* 6. Our next appointment time is:

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* 7. Your details

1. What is really keeping you awake or causing you grief? What is the biggest problem/obstacle right now?

2. Do you have any specific goal/s, issue/s or agenda/s to resolve/meet?

3. How will you know when you have achieved a desirable outcome?

4. How would you rate your competence, confidence, attitude towards achieving this outcome?

5. Quick Wheel Of Life. Please take less then 2 minutes and feel free to use the N/A column.

6. Our next appointment time is:

7. Your details