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Empowerment Coaching Questionnaire

Thank you for embarking on a journey of change, discovery, and the path to beYou. Please take some time to read through this questionnaire and answer all the questions with honesty and openness. If you don't know how to answer a questions, feel free to leave it blank. Make sure to take your time and not rush. Return it to me 48 hours prior to your first appointment (if your appointment is scheduled less than 48 hours prior to your appointment, please fill this out immediately and get it back to me).

My approach to coaching is holistic in order to address the interconnectedness of all things and in order to generate change, we need to become aware of all areas of life rather than focusing on singular matters. Whether you are in a life transition, struggling with a difficult decision, have specific goals you want to achieve, would like to improve your relationships, etc., there is usually more to unpack than what is right in front of you. The outcome is empowering as you will reconnect to your purpose and find fulfillment in all areas of your life.  

This work is not always easy. I ask you to make this commitment to yourself, to keep an open mind, and to be courageous. What lies ahead is great change within yourself. If at any point something is not working for you, please be honest and kindly share with me what is going on.


As your coach, I will be your partner as you work towards your goals, here to support and challenge you. I will hold you accountable for actions you choose to take to work towards your goals. Everything you share is confidential, unless you share with me you are being harmed, plan to harm someone else, or plan to harm yourself. I am required by law to break confidentiality to make sure these things do not happen.


In our first session together we will design an alliance in how we want to work together. During this time I will share with you some coaching nuances that might take place in our sessions. Please come curious and open. 


I look forward to supporting your journey to beYou.

Reflection Questions

In preparation for coaching, please take some time to reflect and answer these questions before we meet. When it comes to your goals, think BIG and don't worry about how you will get there. When it comes to challenges be honest with yourself.

Forming a Coaching Partnership

As your coach, I want you to succeed in achieving the results you want. To best support you in a way that will help you grow and navigate difficulties, please take some time to answer on the following questions with honesty.

Thank you for taking the time to fill out this questionnaire. The information you provide is confidential and will be read with attention by me. I look forward to embarking on this empowerment journey with you.

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