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Pre-Marital Coaching Form
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Pre-Marital Coaching Form
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Name
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First
Last
Email
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What are the three biggest changes you want to make in your life over the next 5 years?
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What is your vision statement for your life (i.e. your purpose)?
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What 3 to 5 goals you want to achieve within the next 3 months?
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If anything was possible, what would you wish for?
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What have been your 3 greatest successes to date?
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What is the greatest challenge(s) you have had to overcome?
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What major changes have you been faced with over the last couple of years?
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What is most important to you in your life and why?
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Who are the most important people in your life - what do they provide you with?
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On a scale of 1 - 10, how happy are you with your life right now? What are the things that make you happy?
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On a scale of 1 - 10, how motivated are you in your work/personal life? What motivates you?
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On a scale of 1 - 10, how stressed do you feel right now - what are your key stressors?
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List 5 things that you are putting up with right now?
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What would you like your coach to do if you are challenged with accomplishing your goals?
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What approaches motivate/demotivate you?
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What would you like from your coach during your sessions: score the following on a scale of 1 - 10 where 1 is not at all important and 10 is extremely important:
Choose on how important this is to you on a scale of Not at all important to extremely important:
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Not at all important
Somewhat important
Neutral
Agree
Extremely important
Gaining clarity of issues
Choose on how important this is to you on a scale of Not at all important to extremely important:
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Not at all important
Somewhat important
Neutral
Agree
Extremely important
Understand what is important/what motivates me
Choose on how important this is to you on a scale of Not at all important to extremely important:
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Not at all important
Somewhat important
Neutral
Agree
Extremely important
Explore and understanding what is holding me back
Gaining an insight into who I am, my strengths, capabilities, and potential
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Not at all important
Somewhat important
Neutral
Agree
Extremely important
Choose on how important this is to you on a scale of Not at all important to extremely important:
Providing encouragement and support
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Not at all important
Somewhat important
Neutral
Agree
Extremely important
Choose on how important this is to you on a scale of Not at all important to extremely important:
Helping defining goals
*
Not at all important
Somewhat important
Neutral
Agree
Extremely important
Choose on how important this is to you on a scale of Not at all important to extremely important:
Helping to identify action and next steps
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Not at all important
Somewhat important
Neutral
Agree
Extremely important
Choose on how important this is to you on a scale of Not at all important to extremely important:
Challenging you with difficult questions
*
Not at all important
Somewhat important
Neutral
Agree
Extremely important
Choose on how important this is to you on a scale of Not at all important to extremely important:
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