Coaching questionnaire

Simply complete this form and press the submit button to send your questionnaire to me for analysis and response. Any information will of course be treated confidentially. Please note some answers are mandatory and some may need to be restricted in length – you will be alerted if the information you have supplied cannot be accommodated within the available space.

Date
First name
Surname
Title
Address		Please enter your full address details here.
Postcode
Phone number
Mobile
Email address
Date of birth
Occupation
Employment status
Marital status
Number of children
Age of children
Interests
Health
Career
Financial situation
Emotional state
Social life
Family
Personal growth
Your coaching goal		What do you want to accomplish most through coaching
Your ambitions		What are your ambitions or dreams in life?
Your achievements		What were your greatest achievements in the last year?
Your disappointments		What were your biggest disappointments in the last year?
Your challenges		What is the biggest challenge you have overcome in life so far?
Your abilities		What are your natural abilities and gifts?
I enjoy...		What aspects of your personal life do you enjoy most?
I don't enjoy		What aspects of your personal life do you enjoy least?
I enjoy		What aspects of your work do you enjoy most?
I don't enjoy		What aspects of your work do you enjoy least?
I like		Describe when you feel most comfortable with yourself.
I don't like		Describe when you feel least comfortable with yourself.
Life lessons		What is the biggest lesson you've learnt in life?
My focus		What (or who) is most important to you?
My passion		What do you feel passionate about?
Breakthrough		In which areas of your life do you most want to achieve a breakthrough?
Background		Is there anything you would like to tell me about your personal or professional background or situation?
Comment		Is there any other information you would like to add?

Carole-Deighton-professional development coach London

E-mail me: coach@caroledeighton.com