818 Life Coaching Questionnaire

Grab the Keys to Unlock Your Life!

We can help you create a SMART plan to live the life you want!

Fill in the form below to find the perfect coaching package for your needs:

Name*
First Last
Phone*
Email*
1. Are you interested in breaking through your barriers and being more effective? If so, what would you hope to achieve over the next 12 months?*
2. What are the 3 biggest changes you want to make over the next 5 years? Where would you love to be in 5 years’ time?*
3. What 3 goals do you want to achieve in the next 3 months?*
4. What feels really good about your life right now? What are the things that make you happy and fulfilled or rested?*
5. Is there anything that doesn’t feel so great? Is there something missing, or something you are holding onto and can’t let go that’s causing you stress?*
6. List 5 things that you are ‘just putting up with’ right now.*
7. What makes you feel full of energy and renewed with life?*
8. What would you say is your greatest 3 achievements in your life to date?*
9. How does your inner voice speak to you? Is it kind and empowering, or critical and self-sabotaging? What does it say often and repeatedly about you?*
10. On a scale of 1-10, how happy are you with your family & relationships right now?*
11. On a scale of 1-10, how satisfied are you in your work life and job/career right now?*
12. On a scale of 1-10, how satisfied are you with your money and finances right now?*
13. On a scale of 1-10, how satisfied are you with your health and wellbeing right now?*
14. On a scale of 1-10, how satisfied are you with learning new things right now?*
15. On a scale of 1-10, how satisfied are you with how much fun and adventure you have in your life right now?*
16. On a scale of 1-10, how satisfied with your spiritual/religious/ethical beliefs in your life right now?
17. How comfortable are you knowing that our coaches will give you honest feedback and challenge you to improve yourself in all 7 Life Segments?*
18. Is there anything else you would like to tell us about yourself?*
19. What questions would you like to ask our coaches?*
20. Have you been in contact with any of our coaches? If so, please give details, as well as any preferences you have (e.g. female, male, no preference)*
21. Please select your top 3 Life Segments you most need help with:*
- Family & Relationships
- Career & Work
- Money & Finances
- Health & Wellbeing
- Learning & Education
- Fun & Adventure (Leisure)
- Spirituality & Ethics (Religion & Values)

ABOUT 818: UNLOCKING YOUR LIFE

At 818: Unlocking Your Life, we help proactive people thrive the SMART way. We give you the keys to a happy, healthy and wealthy mindset so you can free your time and live the life you always wanted. 818: Unlocking Your Life gives regular workshops, seminars, presentations, and courses to serve those who want to make a positive difference through positive action.