Coaching and Mentoring With Smita

Coaching Client Questionnaire

First Name *

Last Name

Email *

Phone *

Website

Socials (if you’d like to share them)

In which area(s) of your life are you looking to get personal coaching? *

What are your expectations from the coaching sessions? *

What would you specifically like to work on with me? *

What 2/3 results would you like to see as a result of working with me? *

If you accomplish the above:

How would you feel differently about yourself *

What would become possible for you? *

Previous Coaching

Have you previously worked with a coach and how did it serve you? What, if any, expectations were not met? *

Have you previously participated in any coaching / personal development / spiritual programmes? And what are the most powerful learnings you’ve got from those? *

How will you know when you are receiving value from the coaching process? *

What would you like from me as your coach during our sessions:

Gaining clarity of issues *

Understanding what is important /what motivates me *

Exploring and understanding what is holding me back *

Gaining an insight into who I am, my strengths, capabilities and potential *

Providing encouragement and support *

Helping define goals *

Help identify action and next steps *

Challenging me with difficult questions *

Providing honest and direct feedback *

Support: being accountable for goals *

Work & Income - tell me about your current situation:

Are you employed *

Are your self-employed? *

Are you a business owner? *

Coaching

How committed are you to invest in your personal growth and development at this time? *

I have the money to invest in my personal growth and development.

I have access to the money to invest in my personal growth and development.

I am not currently able to invest in my personal growth and development

How much time would you be able to devote top your coaching sessions per week/month? *

How soon would you like to get started with your coaching sessions? *

Anything else that you’d like to share relevant to seeking coaching. *

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