Coaching Assessment

Name

Email Address

Phone

Have you found yourself lacking energy or focus? Have you found yourself lacking energy or focus? Strongly agree Agree Neutral Disagree Strongly disagree

Have you noticed yourself being short-fused based on this season of your life? Have you noticed yourself being short-fused based on this season of your life? Strongly agree Agree Neutral Disagree Strongly disagree

Have you had associates or family state concerns about your disposition or attitude? Have you had associates or family state concerns about your disposition or attitude? Strongly agree Agree Neutral Disagree Strongly disagree

Have you personally had times where you felt energized or excited about your life? Have you personally had times where you felt energized or excited about your life? Strongly agree Agree Neutral Disagree Strongly disagree

Have you been noticing changes in your sleep patterns? Have you been noticing changes in your sleep patterns? Strongly agree Agree Neutral Disagree Strongly disagree

Have you had a deep desire to go to the next level in your life, business or ministry? Have you had a deep desire to go to the next level in your life, business or ministry? Strongly agree Agree Neutral Disagree Strongly disagree

Why have you pursued coaching at this time? Why have you pursued coaching at this time? I need help with purpose I need direction guidance I need a safe place to be myself Further comment below

Comments

What transition has made this season a time to work on your personal life, business or ministry? What transition has made this season a time to work on your personal life, business or ministry? I need help with purpose I need direction guidance I need a safe place to be myself Further comment below

Comments

How have you been able to support yourself during this chapter of life? How have you been able to support yourself during this chapter of life? Friends Spouse Family Co-workers Others Further comment below

Comments

What has brought you to a place of desiring a coach? What has brought you to a place of desiring a coach? Become Unstuck Become Stronger Become Focused Become Better Become Successful Become Innovative

Comments

What are your sources of hope, strength, comfort and peace?

What do you hold on to during difficult times?

What sustains you and keeps you going?

What do you want to accomplish through Professional Coaching?