Life Coaching Client Data Form
Please complete the client data form.
Surname:___________________________ First Name:__________________
Age:___________(yrs.) Occupation:_________________________________
Address:________________________________City:____________________
Prov./State:________________________Postal/Zip Code:_______________
Email Address:______________________________
Website Address:____________________________
Residence Phone:___________________Business Phone:________________
Cell Phone:_________________________
Preferred means of communication:__________________________________
Preferred coaching schedule:_______________(day of wk)_________(time)
How did you hear about my life coaching services?
What influenced your decision to work with a life coach?
Have you ever been coached? If so, please describe the experience.
Do you have specific goals for the coaching relationship? If not, what goals might you now create?
What are your significant commitments?
What would your perfect look like?
What are your dreams?
What dreams have you given up on?
Where do you want to focus first?
What parts of your life are working best now?
What parts of your life are working least well?
What stops you from having the life you want to have?
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