Coaching Questionnaire

Please Fill Out This Confidential Questionnaire

This questionnaire will help me figure out the best way to help you out. All answers are completely confidential and will only be seen by me.

After I review your answers, I'll contact you via email about moving forward.

Thanks,
Tripp

*Name

*Email

*Age

*Gender

City/State/Country

What kind of work do you do?

What do you earn per year (on average)?

How happy are you in your work?

How happy are you with your sex life?

How happy are you in your marriage or relationships?

How satisfied are you with your sense of life purpose/direction?

Are you doing what you love? Are you lit up by life?

*Up until now, what has been your approach to making a life change? I hope that something magically comes along and changes things for the better. I decide I want to make a change but I don't know what to do or I don't stick with it. I get clear about what I want. I get whatever help I need. I make things happen.

Over the next six months, what would you most like to improve about your life?

Ever worked with a therapist or coach?

When? What was the outcome?

*How serious are you about getting coached? I'm just looking. I'm not sure if I'm ready to make the time/financial investment in myself. I'm prepared to make the time/financial investment in myself, but I'm not sure what to do. I'm ready to dive in. I'm ready to make the time/financial investment in myself.

*I'm willing to invest a minimum of $250 in myself per month

*I wish to speak with Tripp and see if working together is the best thing for me.

Phone Number
Where you can be reached to schedule an appointment

*Enter Security Code

*Required