getting to know you. Name * First Name Last Name Email * What has motivated you to seek coaching? Have you experienced coaching/therapy before? How would you describe your personal and professional life right now? How can I support you in coaching? Rate the following: Accountability 1 2 3 4 5 Brainstorming 1 2 3 4 5 Exploring and removing obstacles 1 2 3 4 5 Insight into your potential 1 2 3 4 5 Vision 1 2 3 4 5 Encouragement and inspiration 1 2 3 4 5 What is the biggest challenge in your life right now? How is this impacting you? How long has it been that way? Describe what you would like your life to look like: What are the top 2-3 specific outcomes that you would like to achieve from coaching? Thank you! I’ll be in touch with you very soon.