Company (if applicable)

What would you like to get out of coaching?

Please describe your work or professional role (company, position, areas of responsibility, number of employees you manage, work long hours, etc)?

As a percentage, how would you score your effectiveness in your role or profession (from 0 - 100%)?

What else is going on at your work or business area that is relevant to your coaching?

What motivates you?

How do you best learn?

How do you release stress?

How do you look after or take care of yourself?

What are your strong points?

What have you given up on in life?

What are your week points?

When were you the most happiest and unhappiest in life?

If you could have anything in the world, what would it be?

What would you like the rest of your life to be about?

Life Wheel Assessment

Please answer all questions to receive your complete life wheel assessment results.

Coachee Intake & Life Wheel Assessment

All responses will be kept confidential and will not be shared with any other party, person or company. Please answer all questions honestly.