Coaching- InTake - Personal Profile Form

The following form will help get to know you better and make your coaching sessions more valuable and efficient.

Your Name prefix, Mr or Mrs?

Your name

Your E-mail

I would describe myself as:

Others would describe myself as:

What are 3 things I like about my life/situation?

If I could change 3 things about my life/situation, they would be:

My 3 greatest accomplishments are:

Some of my hobbies/interests are:

What is the one thing I would like to accomplish, but haven't yet?

What is the one thing I wish I could change in the short term?

I think the most important thing in life is:

I am interested in working with a life coach because . . .

If you have an issue that you want to address during our sessions together, please list them. You can number them if there are several.

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