Client Profile Questionnaire

***NOTE: THIS FORM CAN NOT BE COMPLETED ON A PHONE.***

As a coach it is important for me to understand how you view the world in general and yourself in particular. These questions help me to understand you and your current position a little better and ensure our first meeting is valuable.

The questionnaire is simply a starting point to stimulate your thinking, please don't overthink the answers as we'll discuss much of it when we meet. Have a super positive day!

   EMPLOYMENT INFORMATION

   GOALS

Rate the following individual areas of your life from 1 (poor) to 10 (exceptional)

** Simply rate each area individually on how it is currently. (Not how you would like it to be or the
importance of it.) For example you may have more than one area rated 6, or none rated 1.

   CHALLENGES

   COACHING

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Thanks, I’ll be in touch shortly. Have a super positive day.
Jodie Cooper