Coaching 1:1 Intake

Introduction
About You
Your Current Reality
Looking Ahead
Strengths & Resources
Self-Awareness & Growth
Values & Priorities
Commitment & Accountability
Coaching Partnership
Final Reflection

Coaching 1:1 Client Intake Questionnaire

Thank you for taking the time to complete this questionnaire.

The purpose is to help you reflect on where you are today, where you would like to be in 90 days, and how we can make the most of our coaching partnership.

Please answer as openly and thoughtfully as possible. There are a few points where can save your progress and return later to the questionnaire.

For further information please contact support@encouragingminds.com.au

Your Coach

Have you experienced coaching before?

Yes, through my employer/work

Yes, self-funded

Yes, personal/life coaching

Yes, career development coaching

Yes, business or sales coaching

Yes, leadership or executive coaching

Yes, as part of working with another service provider (eg. Psychologist)

Yes, other coaching

Unsure

About You

First Name

Last Name

Phone

Business Name (if applicable)

Website (if applicable)

What is your current role, occupation, or primary focus?

What are the major areas of your life, work, or leadership that are currently demanding your attention?

What prompted you to seek coaching at this time?

Why is now the right time to invest in coaching?

Your Current Reality

This section is all about where you are now. It will help you reflect on what’s working and what isn’t.

What is working well for you right now?

What are you most proud of from the last 12 months?

What challenges, frustrations, or obstacles are you currently facing?

What have you already tried to address these challenges?

What patterns, habits, or behaviours keep showing up in your life or work?

What do you believe may be holding you back from reaching your full potential right now?

Looking Ahead

Whether we work together for one session, 90 days, or longer, this section will help you clarify your vision and goals for the near future.

Imagine it is 90 days from now and this coaching engagement has been highly successful. What has changed?

What would make you say, “This coaching experience was absolutely worth it”?

What are the three most important outcomes you would like to achieve through coaching?

Outcome 1: Why is this important? How will you know you’ve achieved it?

Outcome 2: Why is this important? How will you know you’ve achieved it?

Outcome 3: Why is this important? How will you know you’ve achieved it?

Strengths and Resources

This section will help you to reflect on what and who you can lean on to support you in achieving your goals and overcoming your challenges.

What personal strengths do you rely on most often?

Describe a time when you were at your best.

What qualities or capabilities have helped you overcome challenges in the past?

What resources, support systems, relationships, or opportunities are available to help you succeed over the next 90 days?

What do others consistently appreciate, value, or recognise in you?

Self-Awareness and Growth

How you see yourself and what that means for you right now.

What beliefs about yourself help you succeed?

What beliefs about yourself may be limiting you?

What situations tend to trigger stress, frustration, self-doubt, or overwhelm?

What are you currently tolerating that you would like to change?

If you trusted yourself more fully, what might you do differently?

Values and Priorities

This section will identify the gaps between what you believe is important to you and what your daily actions show are actually important to you right now.

What matters most to you right now?

What values are most important to you?

Where in your life do you currently feel most aligned with those values?

Where do you feel least aligned?

What is one thing you need to say “yes” to?

What is one thing you need to say “no” to?

Commitment & Accountability

This section will help you reflect on the level of commitment you are bringing to this coaching engagement.

On a scale of 1–10, how committed are you to creating meaningful change over the next 90 days?

Why did you choose that number?

What might prevent you from following through on your goals?

What accountability structures help you stay on track?

What are you willing to do to achieve the outcomes you described?

Coaching Partnership

This section is all about how you believe we can best work together. This will help us create an effective and purposeful partnership to facilitate success.

What would make you say at the end of our coaching engagement, “My coach was exactly what I needed”?

Describe the best way to give you feedback.

Describe the best way to challenge your thinking.

Describe the best way to support your growth.

Is there anything that tends to shut you down, frustrate you, or make it harder for you to engage?

What else should I know about you that would help me coach you effectively?

Final Reflection

Please complete the following statements:

Over the next 90 days I most want to transform or achieve:

The biggest thing standing in my way is:

The strength I will rely on most is:

At the end of this engagement, I want to be able to say:

What is a key insight you have gained through completing this questionnaire?

Is there anything else not covered here that you would like to share with me before we meet?