Having handled (or currently handling) any psychological issues I may have, I am willing and able to take actions necessary to create the life I want.

• True
• False

I am fully willing to do the work required and understand that the success of the coaching is up to me.

• True
• False

I am ready to stop or change behaviors that prevent me from moving forward.

• True
• False

I understand that for coaching to be successful I will need to look at things differently and learn and try different ways of doing things

• True
• False

I will be open and truthful with my coach and will openly discuss any concerns I have with her.

• True
• False

I will do the things I say I'll do. If something is difficult for me I will discuss this with my coach so that we can work around it.

• True
• False

I want and can handle honest feedback.

• True
• False

I understand that achieving goals takes time and am willing to commit to investing all the time required to achieve them.

• True
• False

I have prioritized my investment in coaching so that I have adequate funds to pay and will not regret or suffer about the fee

• True
• False

I can commit the time needed for appointments and the work in between and can be relied upon to be on time for all my appointments.

• True
• False