Coaching Application Form

To get results from coaching, we recommend committing to a minimum of 6 months of work.

Why an application?

This program is by application only. An application process helps ensure that coaching will be a productive and positive experience and clarifies expectations upfront. Coaching is most effective when people are committed and ready to make a massive transformation. Your coach will encourage and support you to be your best; for that to work, your commitment and openness are vital.

Once you complete the application, you will receive an email directing you to book a consultation. During your consultation, you and your coach will determine if coaching is the right fit for you. You will go over your history and current goals so we can begin to craft a realistic plan for you to achieve them.

Name

First Name

Last Name

1. What are the main changes you want to make in your life in the next three months?

2. What are the main changes you want to make in your life over the next three years?

3. What do you most want to achieve for yourself in your life or career?

4. What are the obstacles keeping you from achieving these?

5. What would you say have been your three most significant accomplishments to date?

6. What do you expect to achieve in life due to working with a coach?

7. What is the hardest thing that you have overcome in your life?

8. What major transitions or life changes have you had in the past two years? (aging, a new or different relationship, job role, residence, a change in family dynamics)

9. Who are your major role models? Why?

10. Have you worked with a coach previously? If so, what worked and did not work in the coaching relationship(s)?

11. Who will be supporting you through this process?

12. On a scale of 1 to 10 (10 being high quality), rate the quality of your life today.

13. List five things that you are presently tolerating or putting up with in your life (examples: disorganization, clutter, rude friends, uncomfortable shoes, unmaintained car, job dissatisfaction, dead plants, broken equipment).

14. In a typical week, what are you wasting your time doing?

15. What are your primary stressors? (What currently stresses you out?)

16. On a scale of 1 to 10 (10 being high stress), rate the current amount of stress in your life.

Phone

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Coaching Application Form

Why an application?

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