HEATHER LOWEY COACHING INTAKE QUESTIONNAIRE:

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Congratulations on taking a very important step in your life!!

This questionnaire contains some powerful questions for you to consider before your first session. This tool is meant to empower you to think clearly, become intentional and allow yourself the privilege to look for the answers. Think about what you want, what limitations you are currently living with, and how you can move forward into the life you desire.

To make the most of this session, I invite you to find 45 minutes to an hour where you can have an uninterrupted moment with yourself. Find a relaxing environment, allowing you to be at your best and 100% focused on yourself. Give yourself the gift of time. Allow your answers to come from your whole engaged being.

Use this tool any way you like. Take some time to ponder the questions. Answering all the questions or choosing not to if you wish.

I hope you make the choice to be open to all possibilities.

YOUR GOALS:

What 3 changes do you most want to make in your life?

What do you most want to achieve? And are you ready to achieve?

As an adult, have you worked in one-on-one relationships (ie. tennis coach, piano teacher, therapist)?
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If yes, what worked well for you? What did not work well?

What major changes have you experienced in the past two years (ie. change of job, a new role, change of residence, etc.)?

YOUR LIFE:
On a scale of 1-10 (10 being highest), how fulfilled are you with the choices you have made in the last 6 months?
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On a scale of 1-10 (10 being highest), how much stress is in your life right now?
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What causes you stress?

What are you tolerating in your life at present? (Examples: clutter, poor lighting, dented car, job dissatisfaction, dead plants, broken equipment, etc.)

YOUR SELF:

What 5 adjectives would someone use to describe you at your best?

How would THEY describe you at your worst?

What 5 adjectives would YOU use to describe yourself at your best?

How would YOU describe you at your worst?

What concerns do you have about life?

What causes you to feel motivated?

What are some things you feel very passionate about? Why?

POTENTIAL AND POSSIBILITY:

What is your personal and/or professional vision?

What intentions do you have for your life presently?

On a scale of 1-10 (10 being highest), what is the quality of your life today?
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What do you picture for your life in 5 years? Think more broadly than being in X job... what do you want to feel? Who's around you? Where are you living and vacationing? Sky is the limit!:

Please take a moment and list out your strengths. No limits, as many as you can think of. This can be characteristics, values, personality traits, how people describe you, how you describe yourself, etc, etc.:

Any other misc notes or thoughts? Please put below:

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