Empowher Questionnaire Please Complete & SubmitEmail AddressNamePhone1. Why do you need a Life Coach?2. What are the top 3 changes you want to make in your life over the next 5 years?3. What has been your 3 greatest successes to date?4. What is the greatest challenge you have had to overcome?5. What is most important to you in your life and why? How happy are you with your life right now?On a scale of 1-10 with 10 being the highestHow motivated are you in your work/personal life?On a scale of 1-10 with 10 being the highestWhat motivates you?How stressed do you feel right now?On a scale of 1-10 with 10 being the highestWhat are your key stressors?6. List 5 things that you feel you are putting up with right now.7. What would you like your Coach to do if you struggle with your goals?8. What approaches motivate/demotivate you?9. What would you like from your coach during your sessions?10. Are you ready to begin the new chapter of your life?Send Message
