Coaching- Getting Started
The following can help you discover the desires you bring to coaching.
Your Dream...............................
Life Purpose
What do you want for yourself, for others, for life,
personally? What is truly most important to you?
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Business Mission
What do you want, professionally, for your clients
and others? Why do you do what you do? What
do you offer that turns you on?
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Personal Needs
Please list of your top 4 Needs.
1_____________________________ satisfied by
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2_____________________________ satisfied by
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3_____________________________ satisfied by
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4_____________________________ satisfied by
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CoreValues
Please list of your top 4 values.
1_____________________________ expressed by
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2_____________________________ expressed by
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3_____________________________ expressed by
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4_____________________________ expressed by
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Personal & Professional Strengths
Please list your top 5 below.
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2________________________________________________________
3________________________________________________________
4________________________________________________________
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False Assumption/Lie
Is there a false assumption (something you've been holding to be true,
but maybe isn't) that is time to re-look at? Is there a basic "lie" that is time to admit?
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10 Daily Habits
Clients who take great care of themselves are able
to achieve more with less cost. Make a list of the
10 daily habits that will keep you well.
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Lighten Up!
Most of us have a couple of extra commitments, promises or projects that
we'd do well to suspend for six months to give us the freedom and space to
have the current ones be effortless and more enjoyable.
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2________________________________________________________
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3________________________________________________________
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Personal Goals
Please summarize your higher-priority ones below.
Health/Well-Being
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2________________________________________________________
Career/Business
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2________________________________________________________
Relationships/Family
1________________________________________________________
2________________________________________________________
Personal Development/New Skills
1________________________________________________________
2________________________________________________________
Fun/Pleasure
1________________________________________________________
2________________________________________________________
Money
1________________________________________________________
2________________________________________________________
Current Challenges
What are you facing right now which needs
immediate focus or resolution?
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Personal Shift
Coaching helps you shift your perspective and
"where you come from in life" to one that really
empowers you and lets you accomplish with ease.
What kind of shift are you now wanting.
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What Else Do You Want Your Coach to Know?
Any concerns? Fears? Past problems? Requests
for your coach interact with you in a special way?
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Your Coaching Relationship begins by sending a copy of Your Dream
form along with the following Client Profile and Basic Ground Rules and
Empowerment Contract and your check as an investment in your first
month of coaching and establishing the day and time for your coaching sessions.
Please put the original in a file folder for your records.
Client Profile
Date _____________________
Name: ____________________________________
Company: _________________________________
Address: _________________________________________
City/State: _______________________________________
Day Phone: AM_______________PM:_______________
VoiceMail ______________ Fax Line:________________
Date of Birth: ______________________________
Occupation: _______________________________
Nature of Business/Position: ________________
Referred By: ______________________________
Initial Term: ____ month(s)
Start Date: _______________________________
Your Investment:
____ $150 per month for four thirty minute sessions
____ $300 per month for four sixty minute sessions
Additional Time: Phone calls between sessions (10 - 15 min. limit) or
E-mail updates (Cyber Coaching) are no additional charge
Payment Due: On the first of the month
Call Day & Time:
M T W Th F Sa Su
_____________ Pacific/ Mountain/ Central/ Eastern time for ________ minutes
Call Instructions: _______________________________________________________________
By choosing to participate in this professional care partnership you acknowledge and agree to the following
Basic Ground Rules & Empowerment Agreement
1. That true wisdom comes from within. Any information, data, imagery, suggestions, stories, examples, etc. provided by David Mueller and other professionals working in conjunction are offered simply as a reflection of you to facilitate your growth. They should not be construed as medical or psychological advice, diagnosis or treatment. Any use of the aforementioned information is done with an acceptance of your own personal risk and rewards.
2. That you are the only one who can ultimately be responsible for the choices that you make in your life.
3. That you agree to be responsible for paying fees in advance and being on time for sessions, unless you make other arrangements.
4. That, David Mueller, your coach will call at the designated time and pay any long distance charges.
5. That you understand that the process of change can involve a wide variety of experiences and emotions. It can be challenging and at times beyond your comfort zone. You understand that you have the right at anytime to say no, slow down or question the process. You agree to be responsible for choosing the pace at which you grow. You acknowledge that you will make no change in your life before you are ready to accept it's consequences.
6, That to the best of your ability you agree to honestly and fairly communicate your needs and accept the process of becoming empowered. That you expect David Mueller, your coach to be truthful, direct, and empathically constructive.
7. That you know of no medical, psychological, or spiritual condition that would place you at risk in participating in the process of these services. You acknowledge that you participate freely of your own will and accept credit for all improvements or changes in your life.
8. Other:_____________________________________________________________________
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Care Guarantee
It is the sole purpose of this work to provide you with a service you find of value. If you find that this service does not offer you the quality that you desire, you agree to communicate this to David Mueller. He agrees to do his best to make things right for you. You may end the professional partnership at any time with a week's notice.
Date: __________________
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Client Signature
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Coach Signature