Exploring Possibility - Dave Coaches

Name *

First

Last

Email *

What is working about your life? *

What would your life look like if it were your dream life? *

What is stopping you from doing or achieving what you are committed to in life? *

What is (are) your biggest challenge(s) in life? *

What are the 5 critical success factors of your life? (If these areas were handled, your life would be a success) *

Physical Wellbeing

Selected Value: 0

0 = Worst, 10 = Best

Emotional Wellbeing

Selected Value: 0

0 = Worst, 10 = Best

Mental Wellbeing

Selected Value: 0

0 = Worst, 10 = Best

Spiritual Wellbeing

Selected Value: 0

0 = Worst, 10 = Best

Financial Freedom & Security

Selected Value: 0

0 = Worst, 10 = Best

Family Relationships

Selected Value: 0

0 = Worst, 10 = Best

Friendships

Selected Value: 0

0 = Worst, 10 = Best

Romantic Relationships

Selected Value: 0

0 = Worst, 10 = Best

Career Achievements

Selected Value: 0

0 = Worst, 10 = Best

Home Environment

Selected Value: 0

0 = Worst, 10 = Best

Work Environment

Selected Value: 0

0 = Worst, 10 = Best

Service to Others

Selected Value: 0

0 = None & Want More, 10 = Content & Enough

Joy

Selected Value: 0

0 = Joyless, 10 = Maxxed Out

Guilt

Selected Value: 0

0 = Overwhelmed, 10 = Guilt-free

Success

Selected Value: 0

0 = Unsuccessful, 10 = Successful

Overall Satisfaction

Selected Value: 0

0 = Unsatisfied, 10 = Satisfied

Please list the outcomes and measures of success that you would like to have complete by the time we finish working together. *

Objective 1

Measure1 *

Measure

Obj2 *

Objective 2

Measure2 *

Measure

Obj3 *

Objective 3

Measure3 *

Measure

Obj4 *

Objective 4

Measure4 *

Measure