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Getting to Know You Personal Information Form

Christian coaching is more effective and efficient if you can give the coach some information about yourself at the beginning. This is confidential information and you are free to pass on any of the questions. The more you complete, however, the better your coach will know you and be able to provide the best coaching experience. You can complete this on line and return it to coach@coachingbyhisdesign.com

Name :
Name you like to be called :
Address :
Home phone :
Work phone :
Mobile phone :
Select the best number (above) Home phone 
to call you : Work phone 
  Mobile phone 
Email address :
Fax :
Occupation :
Employer name :
Date of birth :
Marital status :
Spouse :
Names and ages of children:

Please take as much space as you need to answer the following questions
or as many as you want to answer. Please write a brief life story, giving
whatever background you wish:
 
Why do you want coaching?
What specific issues would you like to work on?
Have you ever been coached before?
Are you now or have you ever been in counseling or therapy?
What is your relationship with God?
In what ways do you sense God might be challenging you, nudging, or getting your attention?
What are the major things happening in your life right now?
How would you like your life to be different one year from now?
What is getting in the way of these changes or goals?
List three procrastinations in your life right now.
In what ways might you undermine or sabotage your coach?
How would a coach help you to stop doing this?
What are your insecurities about coaching?
Any other comments you wish to add:
 

 

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