What brings you here?

First name

Last name

Phone

What brings you to coaching at this specific moment in your life or career?

What are the 3 biggest challenges or obstacles you are currently facing?

Have you ever worked with a coach or mentor before?

Yes

If yes, what did you find most and least helpful about that experience?

How do you learn and process information best?

Talking things through out loud

Visual tools, charts, and writing

Doing/taking immediate action and reviewing later

Are you able to dedicate [e.g., 2–4 hours] per week outside of our sessions to work on your action plans and reflections?

Yes

No / Unsure

Declaration & Consent:

By submitting this questionnaire, I confirm that the information provided is accurate. I acknowledge that coaching and mentoring are collaborative processes and do not substitute for professional medical, legal, or psychological advice. I agree to the processing of this data in accordance with The Maxwell Approach Privacy Policy.

What brings you here?

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