Helping good parents get through a bad time.

Call Focus Form

The purpose of this form is to give you a chance to reflect about how your week has gone, identify current concerns, pressing issues, notice areas you may be avoiding and set tentative goals. Putting it in writing also helps you get clear about how to best use your coaching time with me.

This questionnaire also serves as an update so we can focus the call on moving forward instead bringing me up to speed. When filling it out, do your best to give me “laser like” descriptions (i.e. brief or bulleted.)

Please fill this out the day before our session (24 hours) so I will have time to review it. Thanks very much!

Date(Required)

Name(Required)

First Last

RATE YOUR OVERALL WELLBEING. Choose a number between 1 and 10 that best represents your current level of stress. Then give me a quick answer about why you picked that number. (Using the rating scale below, choose a number between 1 & 10).

ACTION: Since our last coaching session I have:

WINS: What has gone well during that time?

CHALLENGES: What are key problems or concerns that have come up?

INDECISION: Is there an important issue or decision you are avoiding? If so, what?

FOCUS: In my next coaching session, I want to work on:

If you'd like to receive a copy of this form, please put your email here:

Christina McGhee, MSW |divorce and children, LLC
email: christinamcghee@divorceanchildren.com