Is coaching right for you? Which of these areas of your life could use improvement? Confidence Love Life Financial Career Lifestyle Finances Contentment Fitness Other What is your primary reason for considering coaching? I want to achieve specific goals. I need support navigating a life challenge or transition. I’m seeking clarity or direction. Other: (please specify) How committed are you to making changes in your life? Extremely committed and motivated Willing to do the work Somewhat committed Not sure yet Not ready How willing are you to explore new perspectives and take action toward your goals? Very willing Somewhat willing Not Sure Have you ever worked with a coach before? Yes Not yet Survey I am happy with my life's overall direction. Strongly Disagree Disagree Neutral Agree Strongly Agree I have several meaningful and quality relationships. Strongly Disagree Disagree Neutral Agree Strongly Agree I am thriving financially. Strongly Disagree Disagree Neutral Agree Strongly Agree I feel good in my physical environment. Strongly Disagree Disagree Neutral Agree Strongly Agree My life is extraordinary. Strongly Disagree Disagree Neutral Agree Strongly Agree My friends and family support my goals and dreams. Strongly Disagree Disagree Neutral Agree Strongly Agree I'm willing to do what it takes to be successful. Strongly Disagree Disagree Neutral Agree Strongly Agree I feel at peace most of the time. Strongly Disagree Disagree Neutral Agree Strongly Agree I am willing to invest in myself. Strongly Disagree Disagree Neutral Agree Strongly Agree I take care of my body and feel good in it. Strongly Disagree Disagree Neutral Agree Strongly Agree I wake up with a lot of energy. Strongly Disagree Disagree Neutral Agree Strongly Agree I'm excited about my life. Strongly Disagree Disagree Neutral Agree Strongly Agree I am ready for coaching. Strongly Disagree Disagree Neutral Agree Strongly Agree Name First Name Last Name Email Thank you!
