Life coaching : Personal discovery questionnaire

Is this the right time for a life coach ?

Life coaching can help speed up the process obtaining what you want in your life and make the journey getting there smoother. A life coach will support you and help you clarify what you want and what is important.

To discover whether the time is right for coaching and how it might help you, complete the discovery questionnaire below. It will your first positive step towards self discovery and a complimentary coaching session.

Part 1 : Personal Details

First name *

Last name *

Occupation *

Company / Business name

if applicable

e-mail *

Telephone *

Address *

Marital Status *SingleMarriedDivorced

Children *NoYes

Part 2 : Outlook

What is the one thing you would like to achieve or have that would make the biggest difference to your life?

What negative things do you feel you are having to tolerate in your life?

How would your life be different if those issues / tolerations were removed?

What are you passionate about, what gives you joy?

What are the top things you think you SHOULD be doing in your life right now?

Assuming all humans have the ability to hamper their life through traits, which of the following have you .......

Procrastination
Indecisiveness
Low self-esteem or self-confidence
Not always telling the absolute truth
Acting as the 'Lone Ranger'
Tolerating rather than expressing
Not saying 'No'
Not saying 'Yes'
Controlling life / people
Following secondary goals (i.e goals that won't make you happy)
Other

Please tick all that apply.

Please specify ...

What would you expect from me in my role as a coach?

Part 3 : Suitability

Are you READY, WILLING and ABLE to :

Be reliable
Do whatever it takes to reach your goals
Listen to someone elses viewpoint
Invest in yourself
Get out of your comfort zone and try new things
Fully commit to make the changes you are seeking
Commit to a process - acknowledging that change is a process
Ask for support and accept the support offered
Stop tolerating and speak straight
Make goals your top priority

Please tick all that apply.

Give yourself one point for every question you checked and total up your score. If you scored:

8-10 Points - You are ready to make the investment and hire Pavlenka Small. Your commitment is high and you will achieve a lot from working with a coach.

5-7 Points - You are almost there. During your complementary session you will need to work with Pavlenka on perceived areas and barriers and seek support in removing those blocks so you can move forward and benefit from the investment of life coaching. 

 

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