1:1 Coaching Questionnaire 2020 Question Title * 1. Please provide me with your contact information. Name Country Phone Number Email Address Company Name (if applicable) Question Title * 2. Please tell me a little bit about yourself and why you are interested in working with me. Question Title * 3. What 3 goals (health and life) do you want to achieve over the next 3, 6 or 12 months? Question Title * 4. What are the 3 biggest changes you want to make over the next 3 years? Question Title * 5. What do you feel you need most right now? Question Title * 6. What have been your 1-2 greatest successes to date? Question Title * 7. What is the greatest challenge you have had to overcome? Question Title * 8. Please rank the below statements in order from 1-10 (10 being the most important) of what you hope to achieve throughout your 1:1 coaching sessions. 1 2 3 4 5 6 7 8 9 10 Gaining clarity 1 2 3 4 5 6 7 8 9 10 Exploring + understanding what is holding me back 1 2 3 4 5 6 7 8 9 10 Insight into who I am, my strengths, capabilities and potential 1 2 3 4 5 6 7 8 9 10 Encouragement and support 1 2 3 4 5 6 7 8 9 10 Help defining goals 1 2 3 4 5 6 7 8 9 10 Identify action items and next steps 1 2 3 4 5 6 7 8 9 10 Honest and direct feedback 1 2 3 4 5 6 7 8 9 10 Accountability 1 2 3 4 5 6 7 8 9 10 Help to revive my passion and drive 1 2 3 4 5 6 7 8 9 10 Guidance Question Title * 9. On a scale of 1-10, how motivated are you mentally and monetarily (minimum of $500/session) to working with a coach? (1 being the least, 10 being fully-committed) Question Title * 10. Please provide any additional information you would like to share before submitting your application. Done
