Please write in here.

2.  What are you passionate about?

3.  What is missing in your life?  What would make it more fulfilling?

4.  List at least five of your personal strengths or assets. 

5.  What obstacles get in the way of greater success for you?

6.  What value do you see for yourself in working with a coach?

7.  List at least five values or principles that guide your life, your decisions; your choices?  (honesty, truth, loyalty)

8.  What kind of support works best for you?  What kind of support doesn’t work?

9.  Where and how do you get ‘stuck’, and how would you like me to respond to you when you are stuck?

10.  List 10 habits that support and empower you.  Indicate if they are current [C], intermittent [I]. or desired [D]

11.  List at least five of your biggest excuses/time wasters.

12.  What 5 things are you “tolerating” in your life now that are draining your energy?

13.  Identify 5 areas that you want held as your main focus during this coaching relationship.  For each area provide a simple heading and description of a desired result.  Example:  RETURN TO COLLEGE:  I enroll spring quarter to take psychology.  IMPROVE HEALTH:  I walk 15 minutes each day.

14.  What results do you want to achieve through coaching?

15.  How will your life be different and/or how will you feel when you achieve those results?

16.  If you trusted your coach enough to say how best to work with you, what tips would you give?

17.   Is there anything else you would like to discuss?