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Client Questionnaire
Date picker
Full Name
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Preferred Name
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Email
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Phone
Age (optional)
What has made you seek life coaching at this time in your life?
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Have you ever been to therapy or participated in life coaching before? If yes, what was the experience with what you needed -vs- what you received
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What are the main challenges and obstacles you are currently facing in your life?
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How are you coping and managing your stress levels currently?
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How would you describe your emotional well-being at this time?
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What is the best approach when communicating with you?
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How many support sessions do you want/need per week? And why did you select this number?
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What is your biggest fear, if you have any, for starting this life coaching journey?
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What have you tried so far to improve your situations/concerns that have not worked?
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What specific goals would you like to work on together?
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Are there any recurring patterns you notice in your decisions, relationships, or habits?
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What matters most to you in life right now?
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What personal strengths are you most proud of?
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When do you feel most confident or “like yourself”
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What motivates you when things get difficult?
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How do you typically respond to being held accountable?
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Is there anything you think I should know to support you better as your coach?
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What does an ideal coaching relationship look like to you?
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Is there anything you’re hesitant or nervous about when it comes to coaching?
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What would you most regret NOT changing your life right now?
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What is one sentence that best describes what you want for your future?
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Who or what currently supports you in your growth if any?
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Is there anything you think I should know to support you better as your coach?
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How satisfied are you with the following areas of your life? (1 very dissatisfied, 5 = very satisfied) Career / Work Finances Health & Energy Relationships Personal Growth Life Balance Time Management Emotional Well-Being
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What would you like your life to look like 6 months from now utilizing coaching with Coach Kee?
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