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Welcome to the first step towards transformation through TEXT-BASED COACHING TRANSFORMATION!
This questionnaire will help us determine if our coaching format is suitable for your goals and current situation. Please answer as honestly as possible.
1. What specifically attracted you to the text-based coaching format?
2. What 2-3 main changes would you like to see in your life in 6 months?
3. On a scale from 1 to 10, how ready are you to dedicate 15-20 minutes daily to self-reflection and recommended practices?
4. What recurring emotional patterns or situations would you like to change first?
5. How would you describe your current emotional state on most days?
6. What are your primary sources of stress right now?
7. What personal strengths do you believe will help you in this transformation process?
8. What potential obstacles might interfere with your commitment to this process?
9. Are you currently receiving treatment for mental health conditions?
Yes
No
If yes, please specify:
(Required)
10. Are you taking any psychotropic medications?
Yes
No
If yes, please specify:
(Required)
11. Are you currently experiencing a serious crisis or loss?
Yes
No
If yes, please specify:
(Required)
12. Do you have any diagnosed psychological disorders (bipolar disorder, PTSD, borderline personality disorder, etc.)?
Yes
No
If yes, please specify:
(Required)
13. Are you currently working with a psychologist or psychotherapist?
Yes
No
If yes, please specify:
(Required)
14. Have you ever worked with a coach before? What was your experience like?
15. What personal development methods have you already tried? What worked and what didn't?
16. How do you typically respond to feedback or challenging perspectives?
17. What helps you stay motivated when working toward personal goals?
18. How do you prefer to learn and integrate new information?
Reading
Reflection exercises
Practical tasks
Conversation
Other
Other, please specify:
(Required)
19. Your time zone:
20. Preferred time for communication:
Morning (9-12)
Day (12-17)
Evening (17-19)
21. How did you hear about Touch of Perception coaching?
22. What would make this coaching experience truly valuable for you?
23. Is there anything specific about your cultural background or personal values that would be helpful for me to know?
24. *Your questions:* What questions do you have about the TEXT-BASED COACHING TRANSFORMATION process, methodology, or anything else you'd like to clarify before we begin?
25. *Additional information:* Is there anything else you'd like to share that would help me understand you better or tailor our work together more effectively?
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