First Name
Last Name
Preferred phone
Preferred email
Address
City
State
Zip
Birthday
Below are 10 general questions that you will find helpful to consider.
Answer as fully as possible.
1. Why have you hired a coach?
2. What motivates you?
3. How willing are you to make changes in your
life to meet your goals? (
scale of 1-10. 1 being very
ambivalent, 10 being ready to do whatever it takes
starting today)
4. How will you measure the success of your
coaching experience?
5. How can I best coach you? Do you need
someone to be accountable to? Gentle
encouragement? Strong challenges? Or?
6. How do you learn best?
By listening
Reading
Visually, having a demonstration
Following step by step instructions
Being challenged to find a solution yourself
By inquiry (being asked significant questions to think about)
Query (being asked questions that demand a quick
answer/solution)
Messaging (saying something out loud and “getting” it)
Full support (having someone by your side through the entire
learning process).
7. How do you define a really great day?
8. If you could go back and do three things
differently in your life, what would they be?
9. Name three things/experiences that you like
best about your life right now.
10. Is there anything else that you want me to
know?
Thank you so much! This questionnaire will help me
know how best to serve you.
