Name
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First Name
Last Name
What are the main things you'd like to work through in your sessions?
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How will you know you have achieved what you wanted in your session? What do you want to see, feel and hear ?
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What do you think has been holding you back from making these changes in the past?
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What expectations do you have from me as your coach and what do you want to get most out of our sessions?
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How important is it for you to make these changes in your life? Why?
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How committed are you to the coaching session/s you are about to start (0-10 with 10 being the highest)
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When do you feel MOST confident?
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When do you feel LEAST confident?
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What is some of the negative self-talk that you say about yourself?
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Are there any negative emotions or behaviours you experience on a regular basis?
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If you had to select specific emotions, behaviours and issues that you would like to improve right now what would they be?
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Describe your ideal life in 12 months time (health, wealth, work, relationship). What would it feel like, what would you be doing, where would you be?
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What would it mean for your to create this life?
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What would it mean for you if you didn’t?
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What is your most proudest/happiest moment/s of your life?
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What is/are the most saddest/hardest/challenging moment/s in your life?
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Do you feel triggered by anything or anyone?
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Have you been diagnosed with a mental or medical health condition that I should know about?
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By ticking the box, you agree to the terms and conditions of our sessions which are listed on our website
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Have you seen a practitioner, psychologist, counsellor for this issue before?
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