Individual Coaching Questionnaire

countA

I want more clarity about a goal, a decision, or my next chapter.

I feel stressed, overwhelmed, stuck, or disconnected—even when I know what I want.

I can engage with it, but I need perspective, structure, or accountability.

My body reacts strongly: I feel tense, anxious, depleted, numb, or shut down.

A. Making decisions and taking meaningful action.

B. Feeling safer, steadier, and more present in my body.

C. Creating change without becoming overwhelmed.

A. “I need help deciding what I want and how to move toward it.”

B. “I know what I want, but something in me seems to resist or become overwhelmed.”

C. “I need both clarity and a more sustainable way to move forward.”

A. Exploring possibilities, challenging assumptions, and creating an action plan.

B. Slowing down, noticing body sensations and patterns, and practicing regulation.

C. Combining reflection, body awareness, and practical action

I feel ready to explore new possibilities and take meaningful steps.

I’d benefit from building steadiness and support as I begin.

I’m ready to move forward at a thoughtful, sustainable pace.