Intake Questionnaire – Life Connect

Please answer these questions, they will help you look deep within yourself and help us during our coaching sessions. Thank you!

Intake Coaching Questionnaire

Your Name

Email Address

Phone Number

1. What are the 3 biggest changes you want to make in your life over the next 2 years?

2. What 3 goals do you want to achieve within the next 3 months?

3. If anything was possible, what would you wish for?

4. What have been your 3 greatest successes to date?

5. What is the greatest challenge you have had to overcome?

6. What major changes have you been faced with over the last couple of years?

7. What is most important to you in your life and why?

8. Which people are most important to you in your life – what do they provide you with?

9. Is your life one of your choosing? If not, who is choosing it for you?

10. On a scale of 1 -10 how happy are you with your life right now? What are the things that make you happy?

11. On a scale of 1-10 how motivated are you in your work/personal life? What motivates you?

contact@lifeconnect.or.ke