Coaching Exploration Questionnaire

Let's get to know a bit more about you!

This is a brief questionnaire to get an idea of where you are and where you most need support. The more authentic you can be, the better. And don't take too much time; your gut reaction tends to be the best!

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* 1. Name

Name

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* 2. What are the biggest challenges that you are currently facing?

Challenge 1

Challenge 2

Challenge 3

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* 3. What 3 goals do you want to achieve within the next 3 months?

Goal 1

Goal 2

Goal 3

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* 4. How motivated are you to make a change in your life right now?

1 - Not motivated at all

2 - Somewhat, but skeptical of real change happening

3 - Motivated, but don't know how

4 - Very motivated, and looking for a way

5 - All-in, whatever it takes!

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* 5. How happy are you with your life right now?

1 - I'm not happy at all

2 - I occasionally find moments of happiness

3 - I am sometimes happy, but it could be better

4 - I'm usually happy

5 - I'm the happiest I've ever been in life!

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* 6. On a scale of 1-5 how motivated are you in your work and personal life?

1 - I'm just going through the motions each day

2 - I have occasional sparks of motivation

3 - I'm mostly motivated to get to the weekend and vacations

4 - I usually try to bring my best self to home and work on most days

5 - Life is a gem! I'm almost always motivated to play full out!

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* 7. On a scale of 1-5 how stressed are you right now?

1 - Not stressed at all; life is easy!

2 - I occasionally get stressed, but nothing I can't handle

3 - Life is stressful and I try my best to manage it

4 - My life is very stressful and I'm barely holding on

5 - I'm extremely stressed and really need help

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* 8. What do you feel is the single biggest obstacle keeping you from living the life you desire?

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* 9. In order to make a profound change to reach your goals and live your most amazing life of greatness, are you willing to invest in yourself? Please select which best describes you right now:

I have the financial resources and know its worth it to invest in myself and my dreams

I can find access to the financial resources because I know I'm worth investing in myself and my dreams

I have access to minimal financial resources and prefer to do things as cheaply as possible.

I don't have any financial resources at this moment to invest in myself