Coaching Questionaire | KraspedonHealingArts

Health & Wellness Coaching

Congratulations!!

First I want to congratulate you for taking your first step to becoming a better you! I can't imagine how excite you must be!! Hooray for you. By now you should have an idea of what nurse coaching is, but just in case you skipped that page here it is again.

What is Nurse Coaching?

Nurse coaching is a specialty in nursing that was created to help you achieved the best you can be! We focus on the whole human not just a disease process. This includes the Body, Mind, and Spirit! We view you as complete but not quite finished yet. We want to see you meet your goals, or even dreams that you have for your life. What to better your health? We bring along our expertise in health and wellness to help you achieve those goals! What about better your spiritual side? We can help with that! What to focus on something different? What about environmental, social, emotional health? I would love to help you grow in these areas too! Pretty much a nurse coach is limitless in the ways that we can help you! That being said, are you ready to take your fist steps to becoming a better you? Awesome! I can't wait to meet you and see where our journey takes us. So here's is what to do next, and the best part is it's 3 simple steps!

Step One

Fill out the Pre-Coaching questionnaire located below. This will greatly benefit during our first session. Our first session will be the most beneficial and because I want it to be extraordinary so be very thoughtful with your answers. This will aid us to get to know each other better and co-create a plan that's right for you! This session typically last 2 hours. I know that may seem like a long time but believe me you won't regret it. The following sessions will most likely be only an hour long thereafter.

Step Two

Your almost finished prepping for our first session! This where you get to actually book our time together! How exciting! Besides thoughtfully answering the questions below this is probably the next important matter to achieve. If you don't select a time to meet, then we may never get the opportunity to meet! Simple as that. So select the date/time available that works for you.

Step Three

Oh wait there is no step 3! leave the rest for me to handle. we will contact you if we need more information or reminders for our meeting session.

Step One

Pre-Coaching Questionnaire

Please fill out the following form to help me get a better understanding of who you are.

First Name

Email Address

Last Name

Your Age

Body: Physical Well Being

On a scale of 1-10 how would you like to improve your life physically? 1 meaning that you have no interest whatsoever to improve your physcial wellbeing, 10 is you are ready and want to change now!

Are you doing anything right now to improve your health physically

Yes

If you answered yes to any question, please elaborate

How often do you exercise weekly?

Is there a diet you are following?

Mind: Intellectual Well Being

On a scale of 1 -10 how happy are you with your life right now? 1 being that you are not happy at all with yout life, 10 being the best life as to offer.

On a scale of 1 -10 how stressed do you feel right now in your life? 1 being not stressed at all, 10 being the most stressed you ahve ever experienced.

Do you deal with anxiety?

On a scale of 1 -10 how would you score your social wellbeing? 1 being that you have much to improveand desire deeper relationships, 10 being that your social circle is complete at this time.

How Important is your social wellbeing? 1 being that its not importnat at all, 10 being that it is extremely importnat to you and you need this to feel completed.

Spirit: Higher Purpose

On a scale of 1-10 how would you rate your spiritual wellbeing? 1 that spiritual wellbeing does not interest you at all, 10 being that you are doing everything possible to grow spiritually.

Have you ever had a spiritual encounter before?

Yes

If you answered yes to any question, please elaborate

What are you doing right now to grow spiritually?

Generalized Questions

If you could change one thing in your life right now what would it be?

What 3 goals do you want to achieve within the next 3 months?

Is there a certain area that you would like to focus on during our meeting?

What are the three biggest changes you would like to make in your life?

What do you feel like is holding you back from reaching your goals or dreams?

If you could live anywhere in the world where would it be?

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Step Two

Last step!! Book the time for us to meet! I really can't wait to meet you and get to know you. To hear what your goals are and how you wants to reshape your life. Click the button below to set up a time for us to meet. If the times listed don't seem to work with your schedule please send me an email and I will see what I can do for you.

Book your time!