Coaching Questionnaire

Full Name *

Email *

What is your biggest desire for the next 12 months? *

Why is this desire important to you? *

What is the top thing holding you back from manifesting this desire? *

Are you willing to follow directions to manifest this desire? *

Yes No

Are you willing to stretch your comfort zone and do things differently than you have before? *

Yes No

How much can you currently invest in your success? *

On a scale of 1-10, how ready and willing are you to make the necessary changes to manifest your desires? *

Do you currently have any daily practices or routines that support your manifestation goals? If so, what are they? *

Have you tried one on one coaching in the past? *

Yes No

If you've had coaching in the past, what did you like about the process?

If you've had coaching in the past, what did you not like about the process?

What techniques or strategies have you already tried to manifest this desire/resolve your situation?

Can you describe a time when you successfully manifested something in your life? What, in your opinion, made you succeed? *

Send a copy to myself

Newsletter Optin

*Providing my information and submitting this form is my digital signature consenting for Gate of Consciousness (Coach Bree) to via email.