Getting to know you Questionnaire

Getting to know you

Here are a 12 questions to get you self-reflecting and for me to get to know you better. All answers are 100% confidential and will only be used to shape what we'll do if we work together. If you don't feel comfortable enough to answer, just write 'n/a' and move on.

Before you fill out this form, be aware that this form is as much for you as it is for me. Approach this form as the first part of the process, rather than just some admin you have to fill out to get in. What you put into this self-reflection you will get out.

Take your time to think deeply and write fully. And please be as open and honest as possible.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Country of Origin*
How did you find out about me?*
If it was through a friend please mention their name.
What's making you want to explore this work?*
Please be as comprehensive as you can.
Imagine we do 6 months of work together. What would success look like? What would you love to get out of this?*
What outcome would make it easy for you to say yes to this work?
Imagine you are reflecting on the process 6 months down the line, what did you have to do that made this change?*
What action did you take? What did you confront? What did you overcome? What did you let go of?
How would you describe the previous chapter in of your life?*
What does the voice inside your head say to you?
How would you describe what you can sense the next chapter of your life is about?*
What calls you? What do you long for?
In what areas of your life do you need coaching most and why?*
What do you love doing in your personal time?*
If there were no constraints in your life, what would you be doing with your time?*
Have you ever tried something like coaching, personal development, counselling or therapy before and how was it?*
What did you try?
What worked?*
Just type n/a if you're new to this.
What didn't work?*
Just type n/a if you're new to this.
Do you have any current or previous history of a clinical or non-clinical psychological condition?*
Please be as detailed as possible about anything and everything that could be relevant.

The fact that you have spilled your heart into an online application form and answered some pretty difficult and confronting questions is already a very good sign that you are ready to really step into a new way of living and make a change in your life that will become the difference in your future.
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