Coaching Questionnaire

Congratulations for stepping up and taking action. This is the very first step that you must take to achieve your goals and create the body and life that you really want.

This questionnaire will help you get the very most out of your upcoming one-on-one time with me. Not only will it help me learn more about you and better serve your needs, it will help you gain more clarity as to what you want and what may be stopping you from getting it.

I will contact you about your upcoming one-on-one time with me with an email or a phone call after you’ve answered all the questions below and submit this form.

Skip La Cour
[email protected]
(213)973-8790
P.S. If you call, please leave a message. I will call you back. Expect a return phone call from the 925 area code.

Full Name

Your Age

Your Email

Telephone Number

Skype Address or Whatsapp

Time Zone

Which social media platform did you find me on?

What do you most want to change today?

Have you tried to change this before?

What have you attempted in the past that didn't work?

Why do you think it didn't work?

On a scale of 0-10, how important is it for you to achieve change today?

What other areas of your life do you want to change (if any)?

Thank you for your interest.
I will contact you with 48 hours.

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229957753 Coaching Questionnaire