All About Me a 3 page questionnaire that is all about you ? Step 1 of 3 33% Date Name* First Last Email* Phone*GOALSWhat are the 3 goals you want to achieve over the next three months?What are the three biggest changes you want to make in your life over the next three years?PERSONAL HISTORYWhat would you say have been your three greatest accomplishments in your life to date?What is the hardest thing you have ever had to overcome?Who are or have been your major role models? Would you be willing to add some? Why?What major transitions have you had in the past two years? (i.e. – entering or approaching a new decade of life, a new relationship, a new job, a new role, a new residence, changes in children’s ages/stages of life, separation, divorce, death of a loved one, birth of a child, marriage, etc.) YOUR LIFEWho are the key people in your life and what do they provide for you?Is your life one of your choosing? If not, which parts are being chosen for you?On a scale of 1 – 10, 10 = HIGH, provide a number that represents your current level/degree of stress:What are your primary stressors?List five (5) things that you are tolerating or putting up with in your life at present. (i.e. – information you cannot find, rude people, poor lighting, tight shoes, dented car, job dissatisfaction, dead plants, broken equipment, old appliances, etc.)COACHING YOUWhat would you expect or like your Coach to do if you get behind on your goals?How will you know when you are receiving value (i.e. – your money’s worth) from the Coaching process?What types of approaches discourage you or take away your motivation?How can your Coach best support you in the Coaching relationship? Click and drag each of the 10 items in the list below placing the most important on the top working your way down.Brainstorming Strategies TogetherInsight into Who You Are and Your PotentialSupport, Encouragement, ValidationExploring and Removing Blocks and Obstacles to Your SuccessAccountability; Checking up on GoalsWorking through Self-Improvement Programs TogetherSuggesting or Designing Action StepsPainting a Vision of What You Can Become or AccomplishStrategic PlanningDirectness: Asking Hard Questions; Challenging You to Move Forward(top end = Most Important; bottom end = Least Important) POTENTIAL & POSSIBILITYDo you have a personal or professional vision?If so, what is it?What would you like to contribute to the world?What is a dream or goal you have given up on?What part of yourself, if any, have you given up on?On a scale of 1 to 10 (10= HIGH), rate the quality of your life today:EmailThis field is for validation purposes and should be left unchanged.