Coach Questionnaire - Cogent Coaching & Counselling

Legal First Name *

Legal Last Name *

The name you go by *

Date of Birth *

Phone *

Email *

Type of Meeting

Appointment Date *

The preferred date may vary upon the doctor’s availability.

Preffered Time

Morning(8am-12pm)
Afternoon(12pm-5pm)
Evening(5pm-8pm)

What is your primary reason for seeking coaching? (Select all that apply)

Other

How important is it for you to integrate your spiritual beliefs into the coaching process?

Very Important
Somewhat Important
Not Important

Would you prefer a coach of the same gender?

Yes
No
No Preference

What are your preferred coaching methods? (Select all that apply)

What days and times work best for you? (Select all that apply)

Weekday mornings
Weekday afternoons
Weekday evenings
Weekends

Do you have any additional comments or specific needs you’d like us to be aware of?

Thank you for taking the time to complete this questionnaire. Your responses will help us better understand your needs and provide you with the most appropriate counseling services.

Coaching Questionnaire