BBBA Student Assessment

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First Name

Address

Last Name

City

E-mail

Cell Phone

Zip Code

Referred By

Congratulations on taking a very important step in your life!

This questionnaire contains some powerful questions for you to consider before your first coaching. This tool is meant to empower you to think clearly, become intentional and allow yourself the privilege to look for the answers. Think about what you want, what limitations you’re currently living with, and how you can move forward into the life you desire living.

To make the most of this session, I invite you to find 45 mins to 1 hour where you can have an appointment with yourself, uninterrupted. Find an environment that is relaxing, pleasing and allows you to be at your best, 100% focused on yourself. Give yourself the gift of time. Allow your answers to come from your whole engaged being. Your responses will never be shared and will remain confidential.

Use this tool anyway you would like. Take some time to ponder the questions, answering all the questions or choosing not to.

YOUR GOALS

What 3 changes do you most want to make in your life?

What do you most want to achieve?

If yes, what worked well for you? What did not work well?

What major changes have you experienced in the past two years? (i.e. change of job, a new role, change in residence, divorce, health changes, etc.)

YOUR LIFE

On a scale of 1-10, how much stress is in your life right now?

On a scale of 1-10 (10 high), how fulfilled are you with the choices you've made in the last 6 months?

What causes you stress?

What are you tolerating in your life at present? (Examples: clutter, overdue bills, job dissatisfaction, dead plants, overeating, broken equipment, etc.)

YOUR SELF

What three adjectives would someone use to describe you at your best? (in no particular order)

How would they describe you at your worst?

What three adjectives would you use to describe yourself at your best?

What three adjectives would you use to describe yourself at your worst?

What concerns do you have about life?

What causes you to feel motivated?

YOUR VISION & POSSIBILITIES

What is your personal and/or professional vision?

What intentions do you have for your life presently?

On a scale of 1-10 (10 high), what is the quality of your life today?

BUSINESS

Describe your current business:

What are your top (3) priorities?

What are your top (3) challenges in growing your business?

Please tell me the types of services and products you offer (feel free to provide additional information):

What makes your product or service unique? How do you differentiate yourself from your competition?

Where would you like your income to be in the next 12 months?

CLICK HERE TO SUBMIT YOUR ANSWERS