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Personal Information Fact Sheet

*All personal information is confidential.

Client Information
Name *
Name
Employment Information
What you do to earn a living
Personal Information
If applicable
If applicable
Primary Focus
Identify five areas that you want held as your main focus during this coaching relationship. For each focus area, provide a simple heading and a description of a measurable result.

 

 
This is also known as the “wheel of life” - a metaphor that we need all these segments of our life to be “balanced” and “rounded” to move smoothly.  Click the  DOWNLOAD  button below for your empty sheet. ( You may print it if you wish, but it is    not compulsory  to do so. You simply use it to facilitate your reflection.) Simply draw a line across the score you assign to an area, with 0 being the lowest and 10 the highest. For example, if you would rate your HEALTH at a 7, draw a line across the 7th line, and connect all the lines after.  Optional: Click the  ELABORATION  button for a detailed guide you can follow on the various topics and questions in the assessment.

This is also known as the “wheel of life” - a metaphor that we need all these segments of our life to be “balanced” and “rounded” to move smoothly.

Click the DOWNLOAD button below for your empty sheet. ( You may print it if you wish, but it is not compulsory to do so. You simply use it to facilitate your reflection.) Simply draw a line across the score you assign to an area, with 0 being the lowest and 10 the highest. For example, if you would rate your HEALTH at a 7, draw a line across the 7th line, and connect all the lines after.

Optional: Click the ELABORATION button for a detailed guide you can follow on the various topics and questions in the assessment.

 Enjoy the ride :)