"If you want to be happy, set a goal that commands your thoughts, liberates your energy, and inspires your hopes."                                                                                                                     -Andrew Carnegie

                             C O A C H I N G   Q U E S T I O N N A I R E

*Please answer each question and return to Michael before your first session;  All  information is Private and Confidential

Name_____________________________

GOALS:  What are the top 3 goals you want to achieve over the next few months?

What are the three biggest changes you want to make in your life over the next 3 years?

PERSONAL HISTORY:  What would you say have been the three biggest accomplishments in your life to date?

What is the hardest thing you ever had to overcome?

Who are or have been your major role models?

What major transitions have you had in the past two years (e.g.: entering new decade of life, a new relationship, a new job, a new residence, marriage, divorce, birth, death, etc.?

YOUR LIFE:  Who are the key people in your life and what do they provide for you?

Is your life one of your choosing?  If not, which parts are being chosen for you?

On a scale of 1 to 10 (10 = highest), what is your current degree of stress?  ____

What are your primary stressors?

List five (5) things that you are tolerating or putting up with in your life at present (e.g.: information you can't fine, rude people, poor lighting, dead plants, dented car, etc.)

What would expect or like your coach to do if you get behind on your goals?

How will you know when you are recieving value (e.g.: your money's worth) from the Coaching process?

What types of approaches discourage you or take away your motivation?

POTENTIAL & POSSIBILITY:  Do you have a personal or professional vision?

If so, what is it?

What would you like to contribute to the world?

What is a dream or goal you have given up on?

What part of yourself, if any, have you given up on?

On a scale of 1 to 10 (10 = highest), rate the quality of your life today: ____

To request an actual Questionnaire, please contact michael@intentionquest.com

"Many people have a wrong idea of what constitutes true happiness.  It is not through self-gratification, but through fidelity to a worthy purpose."                                                                                                               -Helen Keller