Mind & Health Coaching Group

PREPARATION FOR COACHING SERVICES 

Name: __________________________________________________________________

Age: _______

Current Occupation: ______________________________________________________

Phone (best number to reach you) __________________________________________

Other Phone: ____________________________________________________________

Time zone:`________________________________________________________

Best days and times to schedule sessions: _____________________________________

e-mail: ________________________________@_______________________________

1 - How would you currently describe your life?

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2 - What changes would you like to make in your life in the next three months? ___________________________________________________________

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3 - What changes would you like to make in your life over the next three years? _____________________________________________________

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4 - Which area of your life would you like to focus on in your first coaching session? __________________________________________________________

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5 - If this session was to powerfully assist you in this area, what would you leave the session with?: (eg. A plan to move forward, some clarity, next steps, new insights, et cetera) __________________________________________________________

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6 - Is there anything else you feel your coach should know about you?

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7 - What are the three qualities you would like to see in your coach?

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8 - Other comments:

 

 

 

9 - Please e-mail back this form with your information to: info@mindhc.com as soon as possible.

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