Initial Coaching Form – Andrea Yearsley

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Date

1. What area of your life are you most dissatisfied with?

2. What specifically do you most want to change?

3. How do you know you have this challenge?

4. How would you know when it is gone?

5. What have you done about it in the past?

6. How long have you had it? Was there ever a time when you didn’t have it?

7. Does this remind you of anything else in your past?

8. Do you think what you learned growing up might have influenced this challenge?

9. What is the relationship between all these events and your current situation in life?

10. Is there a purpose for this challenge?

11. What are you willing to do to let go of this challenge now?

12. How willing are you to change it? Scale of (0-10)

13. What are you overall intentions for our time together?