Welcome to
A New Life Coaching

What area of your life do you feel most needs improvement?
Career and professional growthRelationships and communicationHealth and wellnessPersonal growth and mindsetOther (please specify)

What is your primary reason for seeking coaching?
Achieving specific goalsOvercoming obstacles or challengesDeveloping new habits and skillsBuilding confidence and self-esteemGaining clarity and focus in life

How would you describe your current level of satisfaction in life?
Very satisfiedSomewhat satisfiedNeutralSomewhat dissatisfiedVery dissatisfied

What type of support do you feel you need most?
Guidance and adviceAccountability and motivationTools and strategies to address challengesEncouragement and emotional supportA combination of the above

What obstacles are you currently facing?
Lack of confidenceDifficulty managing time and prioritiesUnclear goals or vision for the futureStress or burnoutOther (please specify)

How do you currently handle stress or challenges?
I avoid themI try to solve them on my ownI seek advice from othersI use specific tools or techniquesI’m not sure

How committed are you to making changes in your life?
Fully committed and ready to take actionSomewhat committed but unsure how to startNeutral – curious but cautiousNot very committed right now

What style of coaching do you feel would work best for you?
A structured and goal-oriented approachAn empathetic and supportive approachA mix of guidance and collaborationI’m not sure yet

What is your preferred communication style with your coach?
In-person meetingsVirtual sessions (video or phone calls)Written communication (email or chat)A combination of the above

1What results are you hoping to achieve through coaching?
Achieving specific goals in my career or lifeGaining clarity and directionBuilding confidence and overcoming fearsDeveloping better habits and routinesOther (please specify)