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. Who knows? I could give you a personal phone call to help you work past your challenges. I might be moved by something you write down below in this questionnaire and reach out. I’ve discovered that spending just 10 minutes on the phone can be a huge help to someone who is confused and frustrated. If you do see a phone call from the 925 area code, that’s probably me.

Full Name

Your Age

Your Email

Telephone Number

Skype Address or Whatsapp

Time Zone

Which social media platform did you find me on?

How long have you been following my career, material, and work?

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. Expecct a call from the 925 area code.

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1051481112 Coaching Questionnaire