COACHING INTAKE QUESTIONNAIRE

Name

Why are you interested in life coaching?

What are 3 personal desires you are not currently pursuing?

What gives your life meaning?

What gives you energy? What motivates you? What are you passionate about?

What takes your energy? Are there people/circumstances in your life you find draining?

What’s the biggest challenge in your life right now?

In what areas of your life do you feel confident?

In what areas of your life do you lack confidence?

What are 5 things you feel are hindering you from happiness, fulfillment, or feeling motivated?

What do you value most in your life right now?

What are you willing to let go of in order to live the adventurous life you want?

What are you NOT willing to sacrifice in order to change your life?

Are you willing to try all of the exercises and homework (especially the ones you have resistance to)?

Where do you see yourself after working with me?

Thanks for submitting!