Pre-coaching Questionnaire - Calm Kids Coach

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New Client Form

Pre-coaching Questionnaire

To get the most out of our time together, please take 15-20 minutes to complete the form below as best as you can.

Each question has been designed specifically to help you reach your goals.

Pre-Coaching Questionnaire

Client Information

Your Full Name

Child's Full Name(Required)

Your E-mail

Your Relationship to Child(Required)

Address(Required)

Address Suburb State

Occupation

Phone

Religion (If Applicable)

How did you hear about Anna Ware?

Parent Questions

Words you would use to describe the way you parent would be:

Relaxed

Strict

Bossy

Nagging

Controlling

Easy Going

Fun

Loving

Permissive

What would your friends say about you as a person?

What would your relatives or parents say about you as a person?

If you were to write a book or a movie, what would it be about? What would the title be?

How much do you enjoy spending time with your child?

Always

Most of the time

Sometimes

Rarely

Never

If you could improve in one area of your parenting, what area would that be?

On reflection, is there anything you would have done differently in the last 5 years?

What outcomes do you hope to achieve from this coaching?

What are you tolerating right now?

What is missing in your life right now?

What obstacles are there that have prevented your goals from being achieved?

Is there anything you should share about your mental or physical health?

What would be a specific measurement of the success of this program? (eg child participating in events happily, an improved way of living, removing limiting beliefs, particular achievements).

On scale 1 to 10, where 10 is thoroughly committed, what is you commitment to getting what you want out of this coaching?

On scale 1 to 10, where 10 is thoroughly committed, what is your commitment to getting what you want out of this coaching?

Picturing yourself as an 80 year old, what would you have liked to have achieved so that you would consider your life fulfilled with no regrets?

Additional thoughts on your parenting:

In our coaching relationship, is there a specific way you like to be communicated with?

Be honest and direct

Gently and more subtle

It does not matter

Child Questions

What is your child like as a person?

What is your child passionate about?

What is your child not passionate about?

What would you consider are your child's biggest concerns?

What is ONE thing that you think your child could do (that they are not doing now) that if they did on a regular basis would make a tremendous, positive difference in your child's life?

What is your child most grateful for?

As best as you can, describe your child's best day ever - a 10 out of 10 day. What are they doing? Who are they with? Be as detailed as possible.

List the most important people in your child's life and how they know your child.

On a scale of 1 to 10, where 10 is thoroughly committed, what would you imagine is your child's commitment to getting results from this coaching?

Calm Kids Coaching Services

The Sutherland Shire

Caringbah South

Sydney, NSW Australia

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