Coaching Questionnaire

Hello! I’m very much looking forward to working with you. Please complete this form prior to our scheduled kickoff call—your answers will help to guide our discussion and let me learn a bit about you. Cheers!

Name

First Name

Last Name

Email Address

Tell me a little about your life…

Are you employed? Who do you live with? How do you tend to spend your time? We’ll go into more detail on our first call, so just give me the basics.

What self-care practices have you engaged in, now or in the past?

What would you say is your biggest obstacle to practicing self-care?

What do you hope to get out of this month working together?

When is your birthday?

Month and day

Are there any tools you like to use to learn about yourself, such as horoscopes, enneagram, personality tests, etc.?

If there is a tool that is useful for you, please share your sign, type or other info.