Limitless Living: Pre-Coaching Questionnaire

Thank you for taking the time to complete this questionnaire. Your responses will help me understand where you are in your journey, where you want to go, and how I can best support you as we work together to create lasting transformation.

Personal Information

First name

Last name

Phone

Birthday

Month

Day

Year

Occupation

Marital Status

Married/In Relationship

Single

Do you have any medical conditions or take any medications that you think I should be aware of that may affect your mentorship experience? If so, please describe.

Current Life

Briefly describe your daily life routine.

What are your hobbies? What do you like to do in your spare time? What lights you up?

What practices or tools do you currently use to manage your energy, mindset, or personal growth?

Desires & Vision

What are your reasons for seeking mentorship?

What is your desired outcome from our working together?

What areas of your life would you specifically like to focus on?

What are the top three things you want to create or transform during our mentorship coaching time together?

What do you think are your greatest roadblocks, mindsets, habits, outdated beliefs, or fears that hold you back?

What would be your definition of success or notable achievements from mentorship?

Coaching Approach Preferences

How open are you to spiritual or energy-based practices (like Reiki, intuitive guidance, meditation, etc.)?

What have you used or tried in the past to achieve your goals and what did you learn?

What level of focus, feedback, connection and coaching do you think you need in order to stay on track and create the changes you desire?

Do you prefer in-person sessions or video sessions?

How motivated and committed are you to making real change?

How open are you to being held accountable and gently nudged out of your comfort zone?

What expectations do you have regarding support from the coach?

Final Thoughts

What does success in this mentorship program look/feel like to you?

Is there anything else you'd like to share to help me create a successful personalized mentorship program for you?