Pre-Exploration Call Questionnaire

First Name*
Last Name*
Email Address*
Phone Number*
On a scale of 1 to 10, how important are each of the following categories to you? (Ten is highly important)
Family/Partner*
Business*
Health*
Personal Growth/Self Knowledge*
Spiritual Growth*
Adventure/Travel*
How do you spend your time daily?*
Describe a "typical day" what you do from when you get up in the morning until you go to bed at night.
What is your biggest daily obstacle/challenge?*
Describe your business in detail.*
Include: How long you've been in business, your annual or monthly revenue (gross), who you serve (products/services/demographics), how your services/products are delivered, and anything else you'd like to share to help me understand your business.
Why do you believe working with a coach will help you at this point in your life?*
Ideally, what do your next 6-12 months look like both personally and professionally?*
Where are you fully expressed/ what is your best quality?*
Where in your life are you not fully expressed/ what are you currently working on to develop in yourself?*
Do you invest in your growth? Please share details about any coaches, courses or programs you are currently involved in or have been involved with in the past.*
On a scale of 1-10, what is your current level of pleasure in your life?*
(Ten is the highest level of pleasure)
On a scale of 1-10, rate your current level of fulfillment.*
(Ten is the highest level of fulfillment)
On a scale of 1-10, rate your current desire/commitment to growth.*
(Ten is the highest level of commitment)