Is Coaching For You?
On a scale of 1 to 10, rate each of the following statements (if not applicable, score the item a 5).
1 2 3 4 5 6 7 8 9 10
Not at all agree Somewhat agree Totally agree
Score
I am ready to create more balance in my life __________
I am ready to improve my personal or family relationships __________
I am ready to make real and positive changes in my life __________
I am ready and willing to overcome self-limiting behavior __________
I am ready to create and take action to achieve my goals __________
I am ready to achieve a sense of fulfillment at work and in life __________
I am ready for more fun and enjoyment in my life __________
I'd like to enjoy my family more and complain less __________
I can benefit from someone who will help me to stay on track __________
Total __________