Coaching Quarterly Member Planning Questionnaire

Planning Questionnaire

"*" indicates required fields

Personal Information:

Name*

First Last

Email*

Tell us a little bit about yourself.*

Define your Personal Foundation. What are your best health and well-being practices? Even if you don't do them all the time, when you do, you feel your best.*

Business/Project Information:

Tell us a little bit about your profession, business, or what you are working on.*

Do you have a website? If so, please share your URL.*

Vision + Goals

If you could get one thing from this program what would it be?*

What 1-3 goals would you like to accomplish over the next 12 weeks? Please be as specific as possible.*

In order to accomplish your goals, are there any problems/issues/systems that need to be addressed?*

Flash forward 3 months from now. You've completed all your goals. How are you feeling? Where are you at? What is going on with you?*

Availability:

What are the best days and times for you to have your weekly call? (Please indicate your time zone.)*

Are you willing and able to make your planning calls a priority in your schedule?*

How did you learn about Accountability Works?*