Coaching Questionnaire - Pre Session #1

Welcome To MSS Coaching Academy! To kick-start this journey you’re about to take, I have prepared some questions below to give me a better sense of your goals for your coaching sessions.

I’d request that you challenge your thinking when responding to these questions and allow yourself the space to reflect before answering.

If you can’t answer any of the questions, I invite you to leave them to the end and before you hit submit, have another look over and see if anything new comes up.

As you will learn with coaching, there is no right or wrong answer!

If you have any questions, please reach out via email or phone.

Let’s get started!!

Carole Copeland Thomas, MBA, CDMP, CITM

www.carolecopelandthomas

carole@mssconnect.com

508 947-5755

Date

MonthDayYear

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Occupation

Employer or Business

Marital Status

Your Date Of Birth (Month/Day/Year)

Where Were You Born?

Name significant people in your life, including your relationship to them

What influenced your decision to work with a coach?

Have you experienced coaching before? If so, describe the experience

What are your desired goals from coaching?

What would you like to experience more of and less of in your life?

Do you own or are you starting a business?

YesNoThinking Of Starting A Business

Describe the service or product(s) you offer. Or tell us about your leadership strengths.

What are your career (or business) goals?

What dreams have you given up on?

What’s working well for you right now?

What’s a challenge for you right now?

What’s most important to you?

What do you believe prevents you from having the life you want?

What are your top 5 goals? These can be short term or long term goals

Anything left unsaid?

Thank you for taking the time to complete this form.

I can't wait to start working with you in the weeks to come!

Carole Copeland Thomas

Registration Form