I am interested in (please check if applicable)
Place a checkmark beside the statements which ring true for you.
I'm ready to pursue a career transition
I consider myself to be successful, yet have persistent feelings of dissatisfaction
I'm ready to create more balance in my life
I'm ready to improve one or more difficult and/or important relationships
I'm ready to make real and positive changes in my life
I'm ready to create and take action to achieve my goals
I'm ready to have better balance in my life
I'm ready to be better organized in some or all aspect of my life
I'm ready for more fun and enjoyment in my life
I'm ready to take better care of myself
I'm ready to achieve a sense of fulfillment at work and in life
I'm ready to make the right decisions and feel good about them
I'd like to work less and make more
I'm ready to gain more confidence
I can benefit from someone who will help me to stay on track

1) What in life is most important to you?

2) What do you dream of achieving one day?

3) What do you not have time for?

4) What do you wish to put a stop to?

5) Identify 3-5 areas of positive change that you wish to focus on through coaching.

6) Anything else you wish to note?

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