WELCOME! I AM SO EXCITED TO BE WORKING WITH YOU. LET’S BEGIN WITH SOME GOAL SETTING. Please answer the below questions to the best of your ability. I look forward to reading your responses. Name * First Name Last Name Email * Phone (###) ### #### Why are you seeking coaching? * What behaviors do you struggle with most? * Have you ever sought help for this issue in the past? * Do you now or have you ever had a problem with alcohol or drugs? * How many drinks do you consume a week? * Is drinking interfering with your ability to function? If yes, please explain. * Have you ever participated in a treatment program? If yes, please explain. * Have you ever been diagnosed with a mental health condition? If yes, please explain. * Have you ever been on medication for a mental health condition? If yes, please explain. * Do you have children? If so, how many? * Do you work? If so, what do you do? * What days/times are ideal for our meetings? * What time zone are you in? * What are your ultimate goal(s) for seeking coaching? * How willing are you to commit to your goal? * Thank you!
