Relationship and Business Life Coaching Survey

Personal and Relationship Information

Full Name

Phone

1. How long have you been in your current relationship?

2. On a scale of 1-10, how would you rate your current level of satisfaction with your relationship? - 1 (Very Dissatisfied) - 10 (Very Satisfied)

3. What do you consider to be the biggest challenge in your relationship? (Select all that apply)

Specify:

4. How often do you and your partner engage in meaningful conversations about your relationship?

5. What activities do you and your partner do together to maintain your relationship? (Select all that apply)

Specify if other:

6. How do you handle conflicts in your relationship? (Select all that apply)

Please specify:

7. How satisfied are you with the level of intimacy in your relationship?

Business Life Information

8. Do you and your partner currently run a business together?

9. What type of business do you run or plan to start together?

Other (Specify):

10. On a scale of 1-10, how would you rate your current level of satisfaction with your business life? - 1 (Very Dissatisfied) - 10 (Very Satisfied)

11. What do you consider to be the biggest challenge in your business life? (Select all that apply)

Other (please specify):

12. How often do you and your partner discuss business matters?

13. How do you handle conflicts in your business partnership? (Select all that apply)

Other (kindly specify):

14. How satisfied are you with the level of teamwork and collaboration in your business?

Combined Coaching Interests

15. What are your primary goals for relationship coaching? (Select all that apply)

If other kindly specify:

16. What are your primary goals for business life coaching? (Select all that apply)

Kindly Specify:

17. How do you currently manage business and personal conflicts?

If other, (specify)

Coaching Preferences

18. Which of the following coaching formats do you prefer?

19. How frequently would you like to have coaching sessions?

20. Are there any specific areas or topics you would like the coaching to focus on? (Please specify)