Your personal information

Your Life Situation

Please tell me about your current life situation. Answer both questions below. Hint: what has your most focus, what worries you, or what feels like major hurdles that you have to move beyond in order to have the lifestyle you truly desire?

 

What is key motivator for you to seek a change now?  

 

What is working for you in your life right now?  

 

What is not working so well in your life right now?  

 

What are your top five concerns in order of importance?  

Your Life Goals

 

What are the top 3 biggest challenges you face in your life today and want to change sooner than later?  

 

What is important about overcoming these challenges?  

 

How long a period of time do you feel that you would commit to overcoming these challenges?  

 

What have you successfully done or unsuccessfully done in an attempt to overcome those challenges?  

 

Tell me about the lifestyle you are ready to have ... in particular what you want and why (for now, do not to think about how).
Hint: What is your life dream? If you could have it your way, what style of life would you be living? Just tell me about 4-5 things that are really important to you.   

 

In your life you are living, how close are you to living that successful life you so deserve right now?  
I am living in survival mode. I am living pay check to pay check. Help!
I enjoy where I am, but don't make enough money to support my lifestyle.
I love part of what I do, and really dislike other parts, so I don't feel satisfied (I know I'm capable of so much more.)
I'm already there, helping everyone I want to be helping, having a blast, and making all the money I need to support my lifestyle.
(If this is your genuine answer, please note I WON'T be contacting you for your free coaching session because you don't need it)
Other:

 

On a scale of 1-10, how strong is your desire to master the mind set and skill set that will help you succeed in this endeavor — and ultimately, enable you to start living your lifestyle whole heartedly, and with ease, exactly the way you described it above?
Note: If your desire is anything below an 8, I will not be able to work with you as a private or group coaching client, and will not be contacting you to schedule your coaching session. That said, please be honest in your answer.  

 

Knowing your learning style and preferences, including frequency, intensity and support levels, which would you find most helpful and satisfying as you deepen your education and understanding the balance of lifestyle?

Please check all that appeal to you based upon your needs and schedule.
Private, one-on-one coaching in person
Private, one-on-one coaching on the telephone
Spreadsheets and working web applications
Online social media forums with networking, blogs, resource pages, and daily insights
Facilitated master mind groups for support and accountability
Live events and reunions, both for fun and learning
Yearly and/or quarterly national or international retreats (including yoga, dance, breath sessions, more Balance of Lifestyle, Conscious Business School, Group Coaching, and your own personal "Floor Time" where you get ALL of your burning questions answered)
The ability to learn from me, Jessica, as well as several other guest instructors.
Other:

 

Now that you are thinking about beginning a coaching experience, which of these things would you say are true...
I have heard about life or business coaching before now, but I've never had any.
I have had coaching in the past but it wasn't successful.
I know someone who currently uses a business or life coach.
I can see myself living a better or more productive life thought coaching.

 

What would you like to add that you have not  had a chance to say to get started? What specifically do you want from here that would make all the difference in your life and business/career?

 

How were you originally introduced to Keeping the Balance in You?