Client Information Form

Welcome! I am delighted to be your coach. I look forward to being your partner as you identify and move towards your vision. You really can have, be, and do exactly what you want, and we will put a structure in place to make it happen. My coaching clients are bright, committed to spiritually centered lives, fun, and ready to be gently challenged. You are warmly welcomed into my practice!
Please take some time to enjoy the reflection process that follows. Enter your responses into this form.
What are the three biggest changes you want to make in your life in the next 3 months?*
What are the three biggest changes you want to make in your life over the next 3 years?*
What do you most want to achieve during our initial coaching period? *
What most threatens to hold you back from achieving this desire?*
What is your strongest character strength that helps you overcome challenges?*
As your coach, it is helpful for me to know more about you so that I can better support, encourage, and challenge you as you move towards your ideal life. Please review and answer these questions, and return them to me at your earliest opportunity.
What have been your three most fulfilling accomplishments in life, thus far? *
What was the biggest thing you have had to overcome? *
How strong/powerful/healthy have your past personal or business role models been? *
How have you failed, and how has that affected the way you think and act today? *
Have you worked with a coach before? What worked? What did not work? *
How have your attitudes about people and life changed over the past 10 years? *
What has made you the most successful or powerful? *
Do you have any mental health challenges such as depression, bipolar disorder, anxiety or other challenges that have affected you? Tell me about that.*
What should I know about your professional background or history? *
What should I know about your personal background or family history?*