Your Name:______________________________________________________
Your address: ____________________________________________________
Your phone number:_______________________________________________
Your address: ____________________________________________________
Your birthdate:____________________________________
Please thoughtfully answer these questions!
- What changes you would like to make in your life over the next 3 years?
- What short-term goals would you like to accomplish over the next 6 months?
- Why do you want to achieve what you want to achieve?
- On a scale of 1 to 10, how would you rate your current happiness level? What makes you the most happy right now?
- On a scale of 1 to 10, how would you rate your current stress level? What is stressing you?
- What is the most challenging obstacles you have had to overcome in your life so far? How did you overcome them?
- What has been your biggest successes in your life so far? How did you achieve them?
- What do you feel is hindering you from [happiness, fulfillment, feeling motivated, success]?
- What does success look like to you?
- Who are the most important people in your life, and what is your relationship to them?
- What do you value most in your life right now?
- How do you think working with a life coach will help you?
- How much accountability do you think you need right now?