client assessment

Client Assessment

Information is kept confidential and is never shared with anyone outside of Multiviewing, LLC

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Date/Time/City/State of Birth (for natal charting):

What are your personal interests?

What is your current job or occupation?

What would you like to see transformed in your life?

Beliefs

What are 10 qualities that best describe how you see yourself?

Values

What are 10 things that are most important to you in life?

Purpose

What is your purpose on this planet?

Successes

What accomplishments are you most proud of?

Resources

What support do you have and what do you need to meet your goals?

What goal-achieving practices have worked for you in the past?

What goal-achieving practices have not worked for you in the past?

Is there an illness you would like us to be aware of (physical, psychological, or other-wise)?

Have you studied any self-help, positive thinking, or human development material

If yes, please list the books, courses, and/or speakers you have worked with?

What would you like to accomplish over the course of your 5-month coaching program?

What expectations do you have for me as your coach in this program?

What expectations do you have for yourself in this program?

Is there anything else you think I should know about?