LifeCoach  
 
 
 
 
 
 
"Success occurs
when opportunity
meets preparation"  

.. Source Unknown
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
"Nobody can be
successful if he
doesn't love his work,
love his job"  

..David Sarnoff
Life Coaching Questionnaire  
 
Feel free to fill out as much or as little of the following. When you have completed it, you can either mail the form ONLY to yourself, or send it to me as well.  
 
If you choose, we can then set up a call to discuss any of the items on the form, free of charge and without obligation.  
 
List 10 things you would like to accomplish this year:

 
Of these, which 3 are most important to you?

 
What will change in your life when you have accomplished these 3 goals?

 
My Work Life is / isn't Balanced with my Personal Life:        

 
My work occupies more of my effort than my family?

 
If you had more personal time, what would you do with it?

 
What do you do for recreation?

 
Do you feel you make enough time for recreation?

 
Complete the sentence:-
"If I could _________ I Would __________"


 
Your Name:   (optional)
Email Address:  
Telephone number:    (optional)
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