Client Discovery Questionnaire

Name *

First

Last

Email *

of difficult tried

Country and Time Zone

The person in my life I believe is narcissistic is?

The most difficult part of this relationship has been:

I've tried to cope by:

TOP 3 things you wish to resolve through 1 – 1 coaching:

Let's measure the impact on a scale of 1-10. How much is the narcissistic dynamic impacting your daily life?

Selected Value: 1