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Greetings!
I’m excited to be working with you as your coach while
you search for the “missing piece” to make your life
more complete.
In
order for us to get off to a solid start I would like
you to spend some time completing the following form.
I’m sure that some of the questions will have you pause
and reflect, while others will be easier to answer.
From my experience as a coach, I have often found that
answering these questions is a great starting point
to determine where you’d like to go in coaching.
Set
aside some quality time to complete the questions and
please e-mail the form back to me the day before our
first session.
I’m
really looking forward to coaching you on this wonderful
new adventure.
Gary
What is your
life’s purpose or mission? How do you stay faithful to
that?
What are you
passionate about? What gets your blood pumping or gives
you joy?
If your life
were “as good as it gets” – Please describe it.
If your job were
“as good as it gets” – Please describe it.
What are your
most important values? Asterisk the one(s) you want to
live out more fully.
Your
Goals:
What are the
three biggest changes you want to make in your life in
the next 3 months?
1.
2.
3.
What are the
three biggest changes you want to make in your life over
the next 3 years?
1.
2.
3.
What do you want
to achieve most? And do you feel ready for it?
1.
2.
3.
Your History:
What would you
say have been your 3 greatest accomplishments to date?
1.
2.
3.
What is the hardest
thing in your life that you have had to overcome?
Who are or have
been your major role models?
Have you worked
with a coach before or a similar one-on-one adult relationship
(e.g. tennis coach, piano teacher, therapist)? If yes,
what worked well for you and what did not work in the
relationship(s)?
What major transitions
have you had in the past two years? Entering or approaching
a new decade, a new relationship, a new job, a new role,
a new residence, change in children’s ages/stages, etc.?
Improvements:
List improvements
you would like to make in the following areas of your
life.
Family/home life:
Financial situation:
Career or Business
life:
Personal Character:
Relationships:
Leisure time:
Self-care:
Learning:
Your Life:
Who are the key
people in your life and what do they provide for you?
Is your life
one of your choosing? If not, which parts are being chosen
for you?
What is your
favorite part of your typical day?
What is your
least favorite part of your typical day?
Looking at the
past six months of your life, do you like the direction
your life is moving in?
On a scale of
1 to 10, 10 high, rate the amount of stress in your life
right now.
What are your
primary stressors?
List five things
that you are tolerating or putting up with in your life
at present. (examples: info. you can’t find, clutter,
rude friends, poor lighting, tight shoes, dented car,
job dissatisfaction, dead plants, broken equipments, old
appliances, etc.)
1.
2.
3.
4.
5.
Yourself:
List five adjectives
that describe you at your best.
1.
2.
3.
4.
5.
What adjectives
describe who you want to be in your future?
List five adjectives
that describe you at your worst.
1.
2.
3.
4.
5.
What are your
3 major concerns/fears about yourself?
1.
2.
3.
What are your
3 major concerns/fears about life?
1.
2.
3.
In order for
me to effectively coach you, what should I know about
how you:
Think or Operate?
Reach Decisions?
Are Motivated?
What are you
learning/accepting about yourself at present?
Coaching
You:
Why are you hiring
a coach? Please asterisk the primary reason.
What do you expect
from me in my role as your coach?
What can I expect
from you in this coaching relationship?
What would you
like me to do if you get behind on your goals?
How will you
know when you are receiving value (i.e. your money’s worth)
from the coaching process?
What types of
approaches discourage you or take away motivation?
Are there any
alterations in my natural style you wish me to make when
working with you?
Do you enjoy
self-assessments and improvement programs?
Here are ways
coaching clients work with me. Which appeal to you?
Brainstorming strategies together
Support, encouragement and validation
Insight into who you are and your potential
Painting a vision of what you can become or accomplish
Exploring and removing blocks and obstacles to your success
Accountability; checking up on goals
Working through self-improvement programs together
Suggesting or designing action steps
Lastly, what
questions/concerns do you have about the coaching process?
Potential
and Possibility:
Do you have a
personal or professional vision? If so, what is it?
What would you
like to contribute to the world?
What do you think
is NOT possible to achieve in your lifetime that you wish
you could?
What is a dream
or goal you have given up on?
What part of
yourself, if any, have you given up on?
On a scale of
1 to 10 with 10 high, rate the quality of your life today.
If you reach
the age of 95 and continue to live your life and order
your time the way you are right now, what regrets do you
think you will have? (tip: complete the statement “I wish
I had…”) Do not include things from the past—only things
you will regret if you continue your exact present path.
