PreCoaching Questionnaire
Here is the PreCoaching Questionnaire.
Please complete the following 24 questions 24 hours prior to your first session.
There are no right or wrong answers. Answering these questions will greatly assist your coaching sessions and will help you to move forward as well as enabling your coach to switch on the specific neural pathways that ensure success. Please answer the following questions as honestly and specifically as you can. Set yourself up in a great state (e.g. peaceful and focused) and allow your unconscious mind to let the words flow freely…….
IMPORTANT: Be sure to move through the questions quickly as the answers need to be more intuitive and less laboriously. Note: The form is designed to time out should you take longer than 30 minutes.
All information exchanged between coach and client is strictly confidential.
Todays Date:
09 September 2010 10:57 PM ‹‹
First Name: *
Surname: *
Postal Address: *
Suburb: *
Postcode/Zip Code: *
State/Province:
Country: *
Email Address: *
Mobile Phone Number: *
Business Phone Number: *
1. Outcomes?: * 1. What outcome(s) do I choose to achieve from this coaching?
2. Obsticles?: * 2. What obstacles have stopped me from achieving what I want?
3. Tolerance?: * 3. What am I tolerating right now? In other words; What negative emotions or events am I experiencing that I do not wish to be experiencing?
4. Passion A?: * 4. What do I really, really like or love or what am I passionate about?
5. Impassionate B?: * 5. What am I NOT passionate about? What do I really dislike?
6. The ONE Difference?: * 6. What is ONE thing that I could do (that I'm not doing now) that if I did on a regular basis would make a tremendous, positive difference in my life?
7. My Regrets?: * 7. On reflection, is there anything that I would have done differently, in the last 5 years?
8. My Gratitude?: * 8.What am I most grateful for?
9. Important People in my Life?: * 9. Here is a list the most important people in my life and their relationship to me.
10. The Best Day of My Life?: * 10. Describe my “10 out of 10” day.
The absolute best day ever! You can dream your greatest dream. What are you doing, who are you sharing it with and who are you being? Include the whole visual if you like. Write this like a story - start with: "Today is the best day of my life. Why? Let me tell you why...."
11. Friends Say Positive Things About Me?: * 11. What POSITIVE things would my FRIENDS say about me as a person?
12. Friends Say Negative Things About Me?: * 12. What NEGATIVE things would my FRIENDS say about me as a person?
13. Relatives Say Positive Things About Me?: * 13. What POSITIVE things would my RELATIVES say about me as a person?
14. Relatives Say Negative Things About Me?: * 14. What NEGATIVE things would my RELATIVES say about me as a person?
15. What is Missing?: * 15. What is missing in my life right now?
16. Spiritual Belief: * 16. There are many concepts of a spiritual life and of course just as many religions - NOTE: this is not a point of judgment and again, there is no right or wrong answers.
Please CLICK ON the circle below that best describes what deity represents spirituality to me. This will help your coach in preparing specific hypnotic therapy.
17. Your Book: * 17. If I were to write a book, what would it be about or what would be its title?
18. My Island: * If I had to move to an deserted island and I could only take 10 things with me, what 10 things would I choose?
Place them in preferential order and list them as individual items, not collections (You cannot take your entire library – instead choose just one book or one CD).
19. Motivations: * If you just won $1,000,000 - what one to five things would you purchase?
20. Coaching Style: How would you like me to communicate to you? Eg, do you like direct communication i.e. “the bottom line”, or a more subtle approach?
21. Regarding your Health?: * 19. Is there anything I need to know about your physical or mental health? Such as are you currently taking any medication?
22. Anything I need to know?: * 20. In our coaching relationship, is there anything I need to know about you to help you in our coaching sessions?
23. Measurements?: * 21. What would be a specific measurement of the success of this coaching program? (Preferably something tangible i.e. getting a job, a way of living, a savings plan in place, removing a limiting belief or negative state, a particular achievement etc).
24. Reflections from 90?: * 22. Picture yourself as a 100-year-old person looking back at your life. What would you like to have achieved so that you would consider your life to have been fulfilled with no regrets?
Coaching Days?: * Coaching is only available on the days indicated. Which days do you prefer?
Coaching Dayparts?: * What dayparts work best for me?
Coaching Times?: What times work best for me?
Coaching Location?: * What coaching venue works best for me?
Coaching Location B?: Add the preferred coaching venue/address if other than St Kilda Clinic.
If you prefer to be coached via telephone: Please add your telephone number here including country and area codes:
Starsign: *
Capricorn Dec 22- Jan 20
Aquarius Jan 21- Feb 19
Pisces Feb 20 - Mar 20
Aries Mar 21 - Apr 20
Taurus Apr 21 - May 21
Gemini May 22 - Jun 22
Cancer Jun 23 - Jul 23
Leo Jul 24 - Aug 23
Virgo Aug 24 - Sep 23
Libra Sep 24 - Oct 23
Scorpio Oct 24 - Nov 22
Sagittarius Nov 23 - Dec 21
Coaching Packages: * Click the appropriate box (or highlight or make bold your preferred package)
Payments are paid at the end of each session and can be done via Credit Card, Cash or Cheque or via Finance.
All prices are inclusive of GST
Referred By:: Did someone refer you to us? If so, please acknowledge them by placing their name in the box at right.
Where did you hear about us?: *
Thank You: Your coach will contact you shortly to arrange your first session unless you have already done so.
If you have any questions or comments, add them to the box on the right.
Thank You.
Rik Schnabel
Founder/Chairman - Life Beyond Limits Pty Ltd
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