Hi client
The purpose of this worksheet is to create and define what you would like out of our coaching work together. First read all of the questions below, then answer from top to bottom spending no more than 2 minutes on each.
26/4/24
What is your current role (job) and what would be your dream job?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Gosh, if your answer to this is empty we need to help figure some of this out!","height":120,"placeholder":"Helps to know - feel free to get DETAILED."}
What is your favourite movie of all time?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"","height":80,"placeholder":"This is for fun!"}
Understanding Readiness
How do you think being coached can help you achieve your health aims?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"One place to look: how do you personally like to be supported? What benefits do you get?"}
What has worked well for you in the past?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"One place to look: how do you personally like to be supported? What benefits do you get?"}
What doesn't work for you?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Things I should know and avoid!"}
What's one thing that you can measure that will show you are making progress?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please share something meaningful we might track.","placeholder":"Weight of measurement numbers you could track? perhaps on a weekly or monthly basis?"}
How will you know when you have reached a milestone/win?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"It's imperative to know in order to mark the progress!","placeholder":"Feelings of relief, confidence or perhaps a sense of freedom around food?"}
Who do you currently live with?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"Parents, partner, children?"}
Do you have any health conditions?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"","placeholder":"Share any diagnosis, suspected issues and if you take medication?"}
What's your D.O.B and age?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"Helps we recall what music we were into growing up!"}
Please take a moment to evaluate where you are in these following items...
Remember to apply the following rule of thumb:
5 is I'm doing awesome here, couldn't ask for more!
4 is I'm doing great, no complaints!
3 is I'm doing okay, though could be better
2 is I'm kinda rough or lacking this area
1 is a straight up problem
0 is gah, total failure!
Area of Life
| Score |
|---|
| Family | {"type":"radio","name":"family","width":15,"value":"","size":"Normal","validation":"C1","validationMessage":"Please rate on family","options":"0\n1\n2\n3\n4\n5"}
|
| Fitness | {"type":"radio","name":"fitness","width":15,"value":"","size":"Normal","validation":"C1","validationMessage":"Please rate on fitness","options":"0\n1\n2\n3\n4\n5"}
|
| Work | {"type":"radio","name":"work","width":15,"value":"","size":"Normal","validation":"C1","validationMessage":"Please rate on work","options":"0\n1\n2\n3\n4\n5"}
|
| Health | {"type":"radio","name":"prosperity","width":15,"value":"","size":"Normal","validation":"C1","validationMessage":"Please rate on purpose","options":"0\n1\n2\n3\n4\n5"}
|
Sense of Purpose
| {"type":"radio","name":"purpose","width":15,"value":"","size":"Normal","validation":"C1","validationMessage":"Please rate on purpose","options":"0\n1\n2\n3\n4\n5"}
|
Totals/Average:
| {"type":"computed","name":"totalScore","width":20,"value":"","size":"Normal","validation":null,"validationMessage":null,"formula":"family+fitness+work+prosperity+purpose","hidden":false}
or %{"type":"computed","name":"percentageAwesome","width":20,"value":"","size":"Jumbo","validation":null,"validationMessage":null,"formula":"(totalScore/25)*100","hidden":false}
of awesome
|
How ready are you to financially invest in your health?
{"type":"radio","name":"__generic","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please indicate your commitment level.","options":"100% ready \nI think I am\nI'm not sure at the moment, what's the cost?\nI can't invest in my health right now"}
Disclaimer:
Please recognise that it is your responsibility to work directly with your health care provider before, during, and after seeking nutrition and / or fitness consultation.
Any information provided is not to be followed without prior approval of your doctor. If you choose to use this information without such approval, you agree to accept full responsibility for your decision.
{"type":"checkbox","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please check at least one item.","options":"Agreed\nDon't Agree"}
What are 2 things for you to do in the next 24 hours to move you forward?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please indicate your first action item.","placeholder":"1."}
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please indicate your second action item.","placeholder":"2."}
I look forward to speaking with you on this!
