arizona life coach arizona partnering facilitator



Zen Benefiel, MA, MBA, TLC, CHt

Your

Possibilities Coagulator*

Personal & Business Coach,

Consultant, Facilitator, SEO Adept

480-633-7179 Skype - zendor8

 life coach, student, teacher, transformation




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Coaching Survey - Responding to Your Needs

"Anything less than the truth and we'll make fools of ourselves." Author Unknown

home and health, life coach ad
For the guests from the Home and Health flyer distribution at Safeway, you get a special offer that includes a coaching survey, designed to get you started, and a one-hour session for only $49. In order to qualify, you must also note at least two other advertisers included in the Home and Health flyer you received. Click on the image here.

Below is a brief survey for website guests to prompt answers to important questions in the coaching process. Please be as open and honest in your responses as possible. No one else will see your answers but me. I respect your privacy and honor your desire to improve your life. My response and the potential insights I offer are my gift to you. Please take them seriously. I look forward to serving you in achieving your dreams as your life coach, change agent and possibilities coagulator.

It is important to know the basics of coaching and an introduction to the process is always your best bet. With these fine things laid upon your table, it gives you the opportunity to dine on your own answers first, oftentimes answering or reflecting what you already know to be true. You also begin to align your mission, vision, purpose and passion more effectively to help you.. Be The Dream...Yours!

Please be as open and honest in your responses as possible. No one else will see your answers but me. I respect your privacy and honor your desire to improve your life. You deserve the success you desire. Reprogramming your mind will be one of your toughest challenges.

Complete the sentences as you wish, keeping the initial words as they are written to start your response, please. There is a reason for it as you are subconsciously aligning your mission, vision, purpose and passion at deeper levels. Once you are done, just click the submit button. You may get a message from your email program asking you to allow this form to be sent via email. Please select the 'allow' feature.

Please provide the following contact information:

Name:  

E-mail: 

Phone: 

How may I serve you today, in detail ? What are you needing to discover?


How do you process and respond to your environment normally? How do you equate your thoughts and feelings to the experiences you have?


How do you respond to stress or traumatic situations? Do you have regrets afterward?


If you could focus on a primary purpose to work with me, what might it be?


When did you first notice that you might need some help with focus and a plan?


What are the most challenging issues in your current situation now?


What kind of distractions to you allow to take your focus? Do you self-sabotage?


What situations do you find the most exciting or engaging in what you have to do?


What can you tell me about your personal challenges? Go deep for a moment.


Why do you feel coaching could benefit you at this time in your life?


Are you seeking new direction, dealing with trauma or unemployment?

What special gift do you have that you don't use near enough? How would you use it?

Transformational Life Coach Visioneer, dream coach, dream manager, life coach, self improvement, mission, vision, passion, purpose, change agent, visioneering