# Coaching Questionnaire Template
> Coaching Questionnaire template for WordPress with 12 fields. One-click install with FormForge Pro plugin. Deep-dive questionnaire for coaching clients to un...
- Canonical:
- Last updated: 2026-03-15
- HTML version:
---
Pro
12 fields
Coaching & Consulting
Deep-dive questionnaire for coaching clients to uncover blocks and goals.
### Personal Details
First Name \*
Last Name \*
Email Address \*
Phone Number
Occupation / Business
Location
### Self-Assessment
In what areas of your life are you playing small? \*
What fears are holding you back?
Fear of failure Fear of success Fear of judgment Fear of rejection Financial fears Imposter syndrome Other
What opportunities have you let pass you by?
### Impact & Commitment
What are your fears costing you right now? \*
If nothing changes, where will you be in 5 years? \*
What are you willing to commit to changing? \*
## Form Fields
| Field | Type | Required |
| --- | --- | --- |
| First Name | Text | Required |
| Last Name | Text | Required |
| Email Address | Email | Required |
| Phone Number | Tel | Optional |
| Occupation / Business | Text | Optional |
| Location | Text | Optional |
| In what areas of your life are you playing small? | Textarea | Required |
| What fears are holding you back? | Checkbox | Optional |
| What opportunities have you let pass you by? | Textarea | Optional |
| What are your fears costing you right now? | Textarea | Required |
| If nothing changes, where will you be in 5 years? | Textarea | Required |
| What are you willing to commit to changing? | Textarea | Required |
## What’s Included with Pro
Drag & Drop Form Builder
Conditional Logic
Multi-Page Forms
Email Notifications
Spam Protection
File Uploads
20+ Integrations
1 Year Updates & Support
## Related Templates
Your Name \*
Month \*Select...JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
### Rate Your Progress (1-10)
Progress toward primary goal \*
Mindset & attitude \*
Consistency of action \*
### Reflection
Wins this month \*
Challenges faced
Top 3 priorities for next month \*
Business
8 fields
### Coaching Progress Tracker
Monthly progress assessment with calculated scores.
[View Template](https://royalplugins.com/formforge/templates/coaching-progress-tracker/)
Event/Workshop Name \*
Event Date \*
Overall Rating \*
★★★★★
Workshop pace was:
Too slow Just right Too fast
Most valuable aspect? \*
What will you apply?
Would you recommend this workshop? \*
Definitely Probably Maybe No
Suggestions for future workshops?
Business
8 fields
### Workshop/Retreat Evaluation
Post-event evaluation for coaching workshops and retreats.
[View Template](https://royalplugins.com/formforge/templates/workshop-evaluation/)
### Contact Information
Full Name \*
Phone Number \*
Email Address \*
### Business Information
Current Annual Revenue
Target Annual Revenue
Why are you not hitting your target revenue yet? \*
### Motivation
Who or what influenced you to apply for coaching?
What does your ideal success look like in 12 months? \*
Why are you the ideal candidate for this program? \*
Pro
9 fields
### Coaching Application
Qualify coaching applicants with business details and motivation questions.
[View Template](https://royalplugins.com/formforge/templates/coaching-application/)
## Use This Template
Get FormForge Pro and start building with the Coaching Questionnaire template today.
[Get FormForge Pro](https://my.royalplugins.com/checkout/?add-to-cart=246)