Coaching Session Preamble

Preamble Questionnaire

Please Complete the Form Below and Send Before EACH Subsequent Session (You will also receive a copy via email) (All fields required unless otherwise noted)
Your Full Name:
E-Mail Address:

Since Our Last Session...
1. This is what I have accomplished that I am feeling good about and celebrating:
2. This is what I did not get done but was planning on or intending to (if anything):
3. This is what I learned about myself since our last session:
4. The challenges I am now facing are (if any):
5. These are the opportunities in front of me that I'd like to take advantage of (if any):
6. My agenda for our meeting: Here is what I want to discuss in our session this week:
7. My Current Self-Esteem Rating: On a scale between 1 (lowest) and 10 (highest), my self-esteem is at:
You will receive a copy of your completed form via email.

Top