Basic Information

What is your full name?

How can we best reach you (email, phone)?

Do you prefer phone, email, or video calls?
PhoneEmailVideo Call

Personal Goals and Motivation

What prompted you to seek life coaching?

What specific goals or challenges would you like to address?

What does success look like for you in this area of your life?

Readiness and Commitment

Have you worked with a coach or mentor before?
YesNo

If yes, what was your experience like?

How committed are you to making changes in your life on a scale from 1 to 10?

How much time per week are you willing to dedicate to your personal growth?

Current Situation

What are the biggest obstacles currently holding you back?

What strengths or resources do you already have that could support you in reaching your goals?

Describe your current life situation (e.g., career, relationships, health, etc.).

Expectations

What do you expect from a life coaching experience?

Are there specific techniques, approaches, or tools you’re looking for in a coach?

Practical Details

What is your preferred schedule for sessions (e.g., mornings, evenings, weekends)?

What is your budget for coaching services?

Is there anything else you’d like the coach to know about you?