Client profile form

Name* Email* Phone number* Call date/ time* 01 am 02 am 03 am 04 am 05 am 06 am 07 am 08 am 09 am 10 am 11 am 12 am 01 pm 02 pm 03 pm 04 pm 05 pm 06 pm 07 pm 08 pm 09 pm 10 pm 11 pm 12 pm 00 05 10 15 20 25 30 35 40 45 50 55 What is most important to you in life?* What is your life purpose?* Do you have a spiritual practice? What are your beliefs around religion and spirituality?* Do you meditate? Please comment.* What major changes have taken place in your life in the last 6 months?* What are some important dreams that you would like to pursue in the next 5 or 10 years?* What do you never get tired of doing / talking about?* Who do you admire, and why?* When are you at your best?* What are your strengths? List 5 things you love about yourself.* What is an area of growth for you? List 3 weaknesses.* Which area do you want to be challenged to grow in, and why?* If you've taken a personality-type assessment (DISC, Meyer-Briggs, Strengths Finder, etc) what were the results? What did it tell you about yourself?* Fill in the blanks: "When I crave relaxation and rest I..."* Fill in the blanks: "To feel love, I..."* Fill in the blanks: "To feel alive, I..."* Fill in the blanks: "When I need to experience growth I..."* Fill in the banks: "I feel important and special when..."* Fill in the blanks: "To feel safe and certain, I..."* Fill in the blanks: "I emotionally depend on..."* Fill in the blanks: "The things that sap my energy that I most want to remove from my life are..."* Fill in the blanks: "Right now I feel the greatest sense of need for..."* Fill in the blanks: "What I most desire from my coach is..."* Would you like a copy of your answers emailed to you?* Yes No

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