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(Please use this form only if you have already signed up for coaching...If you have not, send Coach Michele an email at michele@mylifecoach.com to request a free initial session.)

Congratulations!

You are about to embark on an important part of your life where you realize that you have the responsibility and the right to do the best for yourself.  If you strive to be the best person you can be, you automatically help those around you as well.

All of you will have different reasons for getting Coached.  You may want to find a new career or improve your family life.  But, as your Coach, it is important for me to get to know you as well as I can.  (If I have already spoken to you, you can skip this if you wish...However, it may still be helpful, as we can't cover everything in one session!)

Please feel free to answer only the questions you are comfortable with and/or feel are relevant right now.  Some of these questions, however, are meant to get your creative gears going as you start to consider changes in your life!

For maximum security, please just use your initials instead of your full name on this form.  Just answer the questions and press the Submit button when you are done.  If you have any questions, please contact us at help@mylifecoach.com.  (If you don't have time to do this right now...that is OK, you will receive the link to this page in your email and you can return any time.)

Initial Coaching Questionnaire

My initials are (for example J.S.):


I am:

A Man
A Woman

I am in my:

teens
twenties
thirties
forties
fifties
forever young

My employment status is:

Student
Happily Employed
Employed
Self-Employed
Looking for Work
Not Working

You should know the following about my employment situation (explain as

much as you wish here):


I would describe my personal/marital status as:


You should probably know the following about my personal or family status

 (any comments you feel are relevant right now):


The following values, ideals or things are very important to me:


In my life, I would like to have, be, or express more:


In my life, I would like to have less:


If asked, people that know me would say that I am:


On a typical weekday, I usually experience the following emotions (pick

all that apply):

happiness         boredom         sadness     anger           
envy                 fear                 joy            frustration
confusion          despair           hope          no feelings
love              

I think the most important changes or improvements I could make in my

life are:


I have these additional comments (if applicable):


I would like, if available, the following day and approximate time for my

first/next session:


I live in the following time zone:


You should call me at the following phone number:


 

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