Coaching Questionnaire - Kim Evans, MA

1

Full Name

First Name

Last Name

2

Phone Number

3

E-mail

4

Occupation

5

Your Type of Business, Coaching, Consulting or Practice do You Have Currently?

6

If none yet, what type of service would you like to provide or product to market?

7

Marital Status

8

Please share your age?

9

As your coach it is important for me to understand how you view the world in general and yourself in particular.

Every person has their own unique and personal way of interacting with their surroundings.

These questions will hopefully provide a means for me to understand you and your current position more closely and thus enable me to coach you to bring out your best.

Please take some time to answer these questions as thoughtfully and clearly as possible.

If you have any questions please let me know and we can discuss them.

Thank you, Kim

10

What has been the biggest obstacle that you have faced so far in your journey?

11

What strategies have you considered to overcome the challenges in your business?

12

How do you find you are best motivated? Internally? Externally? Both?

13

1) What are your (4) top important values?

14

1) Are your actions in alignment with your current values?

15

What is one thing that you are struggling with now?

16

What do you think is the biggest problem you need to solve in your business over the next 90-days or at the start of the coaching process?

17

What Area Do You Desire Coaching In? Choose one area.

18

If you had a magic wand, what is the one thing that you would create?

19

What are your top 3 goals, either short or long term, at the moment?

20

What are your top 3 challenges at the moment?

21

What support do you need now?* This field is required.

22

What motivated you to seek business coaching services?* This field is required.What motivated you to seek business coaching services?

23

What is the one objective that you wish to achieve from coaching?* This field is required.

24

Do you have an intellectual property strategy?

Intellectual property examples; book, podcast, framework, process, eCourse, or Training

25

What is your business' unique selling proposition? Do you know your target market you like to work with?

26

Do you handle feedback and criticism well?

27

FB Profile Link? IG url? Twitter?

example@example.com

28

A) Are you in a financial position to make now decision to start coaching now? B) Do you need to consult with a partner?

29

What is your monthly income or sales revenue in your business currently?* This field is required.

5,000 to 7,499

10,500 to 14,999

7,500 to 10,000

15,000 and up...

Under 5,000

Other

30

What are your expectations of the coaching relationship?* This field is required.

31

What is the best time to have a phone conversation? Coaching is normally done via Zoom call.* This field is required.

32

Thank you!

Kim Evans, MA