New Client

Catherine Hayes · Managing Director · New York

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ZEV Mindset Mastery Academy

Client Discovery & Coaching Assessment Questionnaire

Your Information

0/23 answered

Commitment & Readiness

  1. 1

    Are you "fed up" with your current life situation and ready to make a change today?

  2. 2

    Are you truly committed to improving your life—both personally and professionally?

  3. 3

    What inspired you to reach out to us today?

  4. 4

    On a scale of 1–10, how satisfied are you with your life right now?

    1 (Very Dissatisfied) — 10 (Extremely Satisfied)

Mindset & Personal Growth

  1. 5

    How would you describe your current mindset?

  2. 6

    Which area of your life would you most like to improve?

  3. 7

    What is your primary goal for seeking coaching at this time?

  4. 8

    What does success look like for you 6 months from now?

  5. 9

    What does success look like for you 12 months from now?

Challenges & Obstacles

  1. 10

    What is the biggest challenge you are currently facing?

  2. 11

    How long has this challenge been present in your life?

  3. 12

    What actions have you taken so far to address this challenge?

  4. 13

    What do you believe is holding you back from reaching your goals?

  5. 14

    How do you typically handle stress, adversity, and setbacks?

Strengths & Habits

  1. 15

    What are your top three strengths?

  2. 16

    What is one habit you would like to build or break?

  3. 17

    Describe your current support system (family, friends, mentors, colleagues, etc.).

Coaching Experience

  1. 18

    Have you worked with a coach before?

  2. 19

    If yes, what was your experience like?

  3. 20

    What would make this coaching engagement a success for you?

Investment & Commitment

  1. 21

    Are you willing to invest 1–3 hours per week into your personal growth and development?

  2. 22

    Are you financially prepared to invest in professional coaching?

  3. 23

    Is there anything else you would like us to know before our call?

Client Declaration

I understand that coaching is a collaborative process designed to help me achieve greater clarity, accountability, performance, and personal growth. I agree to participate honestly and openly throughout the coaching process.

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