Adult Application & Discovery Questionnaire


Name: *
Phone: *
Email: *
Age: *
What is the reason you want to learn more about your Natural Abilities?
What work are you currently doing?
Do you enjoy your current work?
If Yes, What do you enjoy?
If No, What do you dislike?
Are you looking for a change in your career?
Please list other jobs you have had that you enjoyed or disliked:

Do you currently or have you in the past had conflicts with other workmates, staff or bosses in the past?
What are your hobbies, interest, what you like to do out of work?
When you were a child, what or who did you want to be when you grew up? And Why?
If you knew you could not fail, success was guaranteed, what career would you pursue?
What work would you be happy to do with no pay?
Please list 3 strengths:
Please list 3 weaknesses:
Are there any personal issues in your life that I should know about to which may affect your results or the counselling session? Please list:
Do you have any learning disabilities, on any medication or are there any other learning, medical, or behavioural issues that I should know about? Please List:
Are you using a Mac/Safari?