Pre-Coaching Questionnaire

In order to take advantage of our time, please fill out this form. The answers to these questions will help me understand your family’s needs better before we talk. If you are unsure about any of the questions, or prefer not to answer something, please feel free to skip ahead.

Parent Name(s)

Email Address

Phone Number (Include your Skype handle as well, if available)

Child Name

School & Grade

Childs Age

Siblings (names and ages)

Ages to begin crawling, walking, speaking in single words, speaking in sentences?

Tested for IQ? When? Result?

Tested for Giftedness? When? Result?

Most urgent reason for seeking out coaching? Please be detailed.

What have you tried so far and what has worked or hasn't?

What are your child’s strengths and particular areas of interest and/or passions?

What are your child’s areas of weakness and/or what are the areas in which he/she display reluctance?

Do you have any final thoughts or are there additional things that you would like me to know before our first session?

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Pre-Coaching Questionnaire