Client Questionnaire

It is important for me to get a sense of how you view the world and yourself. The following questions are designed to stimulate reflection and help me get to know you better. Please take your time as you consider the questions. You do not need to answer all the questions. Please return at least 24 hours before your first session.

Name
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What do you MOST want to accomplish through Coaching?
Have you made efforts to achieve this in the past? If so, how? What were the results of those efforts?
What specific challenges and obstacles stand in the way of reaching your goal?
How will you know when you’ve been successful in reaching your goal? ie, I will be…I will feel…
Name 3 qualities that best describe you.
What 3 values are non-negotiable for you?
If you have taken any assessments or inventories (ie, Myers Briggs, 360, Strengths Finder etc), please list them here.
What outer resources do you have to support you?
What inner resources do you have to support you?
Tell me what you are likely to be doing when you “lose track of time.”
How do you prefer to learn new things (reading, listening, viewing material…)
How are you likely to respond when things get tough or you hit a wall of resistance?
Tell me about a time you successfully overcame something challenging. From where did you draw your strength?
Who do you admire and why?
Who do you feel closest to and why?
What is your most favorite thing about you?
What is your least favorite thing about you?
What language, attitudes or behaviors can’t you be with?
What or who makes you laugh?
What’s a favorite book or movie? Why is it a favorite?
What would you like me to know about you that I haven’t asked?

​MEET​ GAIL GASPAR, MA, CPCC, ACC

MEET GAIL GASPAR, MA, CPCC, ACC