Empowering Discovery Questionnaire

Designed to understand your goals, challenges, and dreams so we can create a personalized coaching experience to transform your life.

Hi there! I’m so excited you’re taking the first step toward creating the life, business, or mindset you’ve been dreaming of. This discovery questionnaire is designed to help me understand where you are, where you want to go, and how I can best guide you on your journey. Be honest, be bold, and let’s make this the start of something incredible!

Section 1: About You

First Name *

Last Name *

Phone *

Email *

What’s your preferred way of communicating?

Section 2: Current Situation

What’s the biggest challenge or obstacle you’re facing right now? *

How long have you been struggling with this challenge? *

What have you tried so far to overcome this? What worked, and what didn’t? *

Section 3: Goals and Vision

If you could wave a magic wand and transform one area of your life in the next 6 months, what would it be? *

Where do you see yourself in 6 months to a year if you achieved your goal? *

What’s your ultimate dream or vision for your life? *

What would achieving this goal mean for you and those around you? *

Section 4: Commitment and Resources

On a scale of 1-10, how ready are you to commit to making real changes in your life? *

What resources (time, finances, tools) do you have to invest in your transformation? *

What’s currently stopping you from taking the next step toward your goals? *

What would it cost you emotionally, mentally, or financially to stay where you are and not take action? *

Section 5: Personalization

What type of coaching or support are you looking for? *

One-time strategy session

Short-term coaching (4-8 weeks)

Long-term coaching (10-12 weeks or more)

Other

What qualities do you want in a coach? (e.g., empathetic, motivational, direct, etc.) *

What’s the best way I can help hold you accountable to your goals? *

Is there anything else you’d like me to know about you or your situation?

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