Pre-Coaching Questionnaire

This questionnaire contains a few questions for you to consider when you first begin your coaching journey. While it is meant to help you become intentional about how you want to benefit from coaching, it will also help you structure your thoughts and clarify your goals.

Any answer to any question is YOUR answer, It reflects where you are in life and where you like to be. No right or wrong.

Think about what you want, what limitations you’re currently living with and how you can move forward to achieve your goals. Whether your goals are in the professional or personal realm, please open your mind to the world of connectedness. Every element of your life contributes to your overall human experience.

Use this tool however you’d like. Take some time to ponder the questions, answering all the questions or only some. Before you sit down, grab a cup of your favorite drink, appreciate the moment, be open and let those next 30+ minutes support you in becoming excited for what is ahead of you.

I look forward to working with you.

Name

First Name

Last Name

Phone

(###)

###

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YOUR COACHING GOALS

What 3 changes do you most want to make in your life (not just via coaching)? If you can answer it already (no worries if not - we can work on this together): What will happen if you don’t make those changes?

For coaching to have been successful what will need to be different for you 3-6 months from now?

What might get in the way of you achieving your goals?

What do you expect from me as your coach? How can I best work with you?

YOUR LIFE

On a scale of 1-10 (10 high), how much stress/friction is in your life right now?

Take a look at the stress web graphic below this form (graphic I). What felt sensations arise looking at it? What areas jump out for you and why? Are you noticing any triggers? Felt sensations can include feelings of stress and ease, rise or drop in body temperature, shallow breathing, or slow or faster breathing, heaviness, lightness, lethargy etc.

What causes you stress?

What makes you really upset? What makes you really confused?

How do you act when you are angry/ upset or confused?

What makes you really happy?

What values are most critical to who you are?

Describe a peak experience in your life, and what was important about that experience for you?

Take a look at the Deep Health graphic below this form (graphic II) and tell yourself and me what you are noticing first. What elements do stand out for you? What strikes you as important here? Are there areas that work very well for you? Which areas would you like to improve or give more space to in your everyday life?

List 5 things you want me to know about you: (This can be anything ranging from your favorite sports team, a dream that keeps coming back to you, a life goal you have, a bucket list, a secret passion for ?? ….) 1

2

3

4

5

YOUR SELF

What five adjectives would you use to describe yourself at your best?

What five adjectives would you use to describe yourself at your worst?

What 5 adjectives would someone ELSE use to describe you at your best?

How would they describe you at your worst?

What responsibilities/activities reduce your energy level?

What responsibilities/activities energize you?

POTENTIAL AND POSSIBILITY

What is your personal and/or professional vision? (the ideal/a dream)

What do you want your career to look like in two years?

Zoom out and look at your life holistically: In order for your work and life to be in sync, what other aspects do you want to optimize and why? (e.g. health, partner, children, friendships, involvement in local community etc.)

You are done with the questionnaire: How are you feeling? What are you feeling right now? Thought: You can answer this below right now or let the situation mature for a moment and keep it to yourself :)

TAKE ME BACK TO THE ONBOARDING ROADMAP

Graphic I

Graphic II