COGNITIVE BEHAVIORAL COACHING

Client Name: ____________________________________________________ Date: ___________

Assessment Results
Identifying Problem Areas:

Locus of Control and Growth Mindset:

Client Goals

Coaching Plan
Number of Sessions, Duration of Sessions, Other Structure Details:

Session Schedule/Plan/Outline:

Other Notes:
Problem Areas
Problem Area: Program sections and activities that Description of the problem: Goal/outcomes:
will be used

Problem Area: Program sections and activities that Description of the problem: Goal/outcomes:
will be used

Problem Area: Program sections and activities that Description of the problem: Goal/outcomes:
will be used

Notes on Progress, Results, Reactions