Life On Purpose Coaching Consultation |

Consider your Initial Coaching Consultation has already begun since the degree of thought and care you put into addressing these questions will help determine the amount of value you will receive from the consultation. Your responses will prepare both you and your coach for the first session, so take your time. These 1-hour coaching consultations have two primary purposes:

• To add value to your life for the pure joy of it, and
• To determine whether we’d be a good match to be in an ongoing coaching relationship.

Name*
First Last
Email*
Phone*
Skype I.D.
You only need to provide this if you want your coaching consultation to be conducted via Skype.
Country
State
Website
1. In regards to your life purpose, evaluate where you presently are on the scale below:*
Select the choice that best describes your current level of clarity about your life purpose.
- I have no idea what my purpose in life is, not a clue.
- I have a vague idea of what my life purpose is, but I need to be much clearer.
- I have a fairly good idea what my life purpose is.
- I am clear what my life purpose is but I am not living consistent with it.
- I am certain of my life purpose and living consistent with it about 25% of the time.
- I am certain of my life purpose and living consistent with it about 50% of the time.
- I am certain of my life purpose and living consistent with it about 75% time.
- I am certain of my life purpose and living consistent with it 100% of the time.
2. What would be your most sincere, authentic answer if someone walked up to you today and asked the following question: 'What do you consider your purpose in life to be?'*
3. There are three parts to this question. Please answer each one thoroughly. a) What are you interested in accomplishing next in your life in the next 1 to 5 years?*
b) If you were to enter into a coaching relationship, what three things would you want to start working on with your coach?*
c) What are you interested in accomplishing, addressing, or clarifying in your initial consultation?*
4. Have you ever been in a coaching relationship either as the coach or being coached? If yes please explain:*
5. What short and long term benefits would you be interested in receiving from a coaching relationship?*
6. Is there anything else that your coach should know that would facilitate accomplishing your intended outcome (as indicated from Question #4), from working together or anything else that you would like to communicate?
YOU'RE NOW READY TO SCHEDULE YOUR CONSULTATION! Initial Coaching Consultations are approximately 55-65 minutes phone or Skype sessions. To minimize the amount of phone tag, please give 3 dates and times when you would be available for your coaching session. My coaching days and times are: Tuesdays through Thursdays from 10 am to 4 pm eastern time. I will contact you within 5 business days to confirm an appointment time.
If you are completing this questionnaire in preparation for an upcoming coaching consultation you've already scheduled, simply write in the date and time in the first choice.
Please use Eastern Time when entering your available times.
After you've submitted the questionnaire you will be redirected to a page describing our Coaching Plans. Please review these to get an idea which one may be the best fit for you.
Your Time Zone*
Date 1
Date Format: MM slash DD slash YYYY
Time 1

: HH

MM
Date 2
Date Format: MM slash DD slash YYYY
Time 2

: HH

MM
Date 3
Date Format: MM slash DD slash YYYY
Time 3

: HH

MM