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🧭 Coaching & Consulting

Free Coaching Pain Point Survey Template

A structured intake questionnaire that gets a coaching prospect to name, rank and describe their core challenge, so sessions start on the real problem.

9 prompts
Rank + rate
No scoring needed
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Quick answer

A structured intake questionnaire that gets a coaching prospect to name, rank and describe their core challenge, so sessions start on the real problem.

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About this template

Most prospects arrive with a vague complaint, not a defined challenge. This inventory walks them through the areas coaching touches - career, confidence, relationships, habits, leadership - and asks them to rate intensity, name frequency and quote their own words. The output is a ranked problem list with evidence, which turns a first session from discovery into a contract on what to work on.

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Template at a Glance

TemplateClient Challenge and Pain Point Inventory
CategoryCoaching & Consulting
FormatStructured form with copy-ready fields
Time to completeAbout 10 minutes per response
What you getStructured, timestamped responses you can review, export or keep for audit
Best forCoaches in discovery · Practice builders · Niche specialists
CostFree to copy and customize on FormLM
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Live Preview

Sample form preview (fillable once the app is published).

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Fill it in to see how responses flow.
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What's Included

What you get when you copy this template.

1

Area checklist

Tick the life and work areas under pressure.

2

Intensity rating

Rate each problem 1-10 and how often it shows up.

3

Own-words prompts

Capture the exact phrase the client uses, not your translation.

4

Priority ranking

Client orders their top three challenges before you read a word.

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How It Works

Four steps from copy to a usable result.

1

Send before contact

Attach it to your booking page or discovery email.

2

Client fills it in

About 8 minutes, plain language, no jargon.

3

You review the ranking

See intensity, frequency and the client's own phrasing.

4

Contract the agenda

Open session one on the top-ranked problem.

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Who Is This For

Where this fits in a coaching practice.

1

Coaches in discovery

Walk into the first call with the problem already named.

2

Practice builders

Turn scattered enquiries into a repeatable intake step.

3

Niche specialists

Compare challenges across clients to sharpen your offer.

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Key Features

What makes it work as a professional deliverable.

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Sample Questions Inside

Real items from the template - every field stays editable in your workspace, and responses are archived per submission.

  1. Which areas feel stuck right now? (multi-select)
  2. Describe your biggest challenge in one sentence (open)
  3. How intense is it, 1-10? (scale)
  4. How often does it show up? (choice)
  5. What have you already tried? (open)
  6. What is the cost of not solving it? (open)
  7. Rank your top three challenges (ordering)
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Frequently Asked Questions

What is this form for?
It turns a vague "I need coaching" into a ranked, described problem list you can build an engagement around.
Does it score the client?
No - it captures intensity and priority in the client's own words. Use it before, not instead of, a discovery call.
Where does it fit in my funnel?
Between the enquiry and the first call: prospects submit it when they book, you read it before you talk.
Can I limit it to one niche?
Yes - delete the areas you do not work in and rewrite the prompts in your own language.
Is it free?
Yes. Copy it into your FormLM workspace and reuse it with every enquiry.
Why not just ask on the call?
On a call people soften the problem. Written first, they rank it honestly, and the ranking is the agenda.

Run Client Challenge and Pain Point Inventory with your next client

Copy it into your workspace, customize, and share — free to start.