Initial Assessment Questions

 
This survey provides initial details for your first assessment session with My Better Life Coaching. Please answer as honestly as possible. It is the first step on what could be your greatest journey!

1. Please enter your details: *

*
*
*
 

2. How would you rate your life out of 10 in the following areas (10 being ‘couldn’t be better)? *

*
*
*
*
*
*
*
*
 

3. If there was one goal you could achieve in the next 3 to 6 months which would make a big difference in your life, what would it be? *

 

4. If you could choose to have more of one thing in life, what would it be? *

 

5. What would you say you are ‘tolerating’ or ‘putting up with’ the most (top 3) in your life?

 

6. What one thing would you change in your life, if you had to choose? *

 

7. Considering everything you have done, or thinking about who you are, what would you most like to be acknowledged for? *

 

8. To increase your enjoyment of life, name 3 key areas you would focus on for your own personal development: *

*
*
*
 

9. Write down ONE thing you would like, but are unsure if or how you can have it: *

 

10. All of us have ways of sabotaging our life, or holding ourselves back. Choose 5 from the following list which represent your favourite methods of doing this, where 1 is 'Most Effective' and 5 is 'Least Effective':

a. PROCRASTINATION
b. TOLERATING
c. FOLLOWING EASIER SECONDARY GOALS INSTEAD
d. BEING INDECISIVE
e. NOT SAYING “NO”
f. NOT SAYING “YES”
g. ARROGANCE OF ‘ALWAYS BEING RIGHT’
h. TRYING TO CONTROL LIFE/PEOPLE
i. NOT BEING TRUTHFUL
j. DOING EVERYTHING ALONE *

*
*
*
*
*
 

11. If working with a coach on a regular basis (once a week or month) what do you think you would most likely get from the relationship that you feel is missing in your life? (Select up to 3):

a. DIRECTION
b. INSPIRATION
c. CHALLENGE
d. A LISTENER/SOUNDING BOARD
e. VALIDATION
f. SUPPORT
g. ACCOUNTABILITY
h. IDEAS OR STRATEGIES
i. FOCUS

 

12. Do you think you are ‘coachable’, meaning you are open to input and feedback, comfortable working in a partnership of honesty and open to making changes?

 

13. For standard Coaching and Behavioural Therapy, my fees are typically £90 per hour. How affordable would this be to you? *

Powered by SmartSurvey
Check out our survey templates or create your own.