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Worksheet

1:1 Coaching Questionnaire

1. ➜

Basic Information


  • Name:

  • Email:

  • Phone (if you want to receive texts):

  • Time zone:

  • Instagram or Website (if applicable):


2. ➜

What inspired you to explore 1:1 coaching at this time in your life?

3. ➜

What are the top 2–3 challenges or transitions you’re currently facing?

4. ➜

If we could wave a magic wand and you felt deeply aligned and empowered 6 months from now, what would that look like?

5. ➜

Have you ever worked with a coach, therapist, or healer before? What was helpful (or not)?

6. ➜

Have you ever worked with a coach before? What was that like (or what are you looking for if this is your first time)?

7. ➜

How do you currently support your own well-being—mentally, emotionally, physically, and spiritually?

8. ➜

What kind of support are you most craving right now?

9. ➜

My 1:1 coaching program is a high-level investment of time, energy, and finances. Are you in a place where you can invest in yourself right now?

10. ➜

What draws you to work with me specifically?

11. ➜

How did you find me?

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