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Client Questionnaire

Thank you for taking the time to complete this. Please submit it at least 48 hours before our first session.

Your responses are completely confidential and will help guide and support your coaching journey.

Name

First Name

Last Name

Phone

(###)

###

####

Date

YYYY

Life Right now.. Where are you currently at in your life — emotionally, professionally, personally?

What challenge or area of tension feels most present for you right now?

What bothers you most about this?

What have you already tried or explored in relation to this?

Your Vision..If we could wave a magic wand — where would you love to be three years from now?

And where would you like to be one year from now?

What feels like it’s currently in the way of that vision?

What matters most to you in this next phase of your life?

Coaching Partnership... What are your hopes or expectations from me as your coach?

As we begin, is there anything you’d like me to know about how you work best (e.g., how you receive feedback, prefer support, etc.)?

Final Reflections...Is there anything else you’d like to share before we begin?

Is there anything else important that you would like to mention before our session

Do you have any specific intentions or feelings ahead of our first session?

I agree to the Terms & Conditions

Yes