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Coaching Questionnaire

This Questionnaire requests information that will help me help you during your complimentary coaching session.

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Question 1 of 12

In the following box include your first/last name, mailing address, telephone number, and email address.

Question 2 of 12

What is your current or most recent position/job? 

Question 3 of 12

Describe your educational background.

Question 4 of 12

What PERSONAL goals and objectives would you like to accomplish?

Question 5 of 12

What BUSINESS goals and objectives would you like to accomplish?

Question 6 of 12

What have you done so far to work towards accomplishing your personal/business goals or objectives and how long have you been working on them?

Question 7 of 12

How do you see coaching services fitting into your plan?

Question 8 of 12

What areas do you consider to be your strengths and where do you feel you need the most improvement?

Question 9 of 12

How do you learn best?

(Select all that apply)
A

Audio

B

Video

C

Reading

Question 10 of 12

To what extent does your family (significant other) support your efforts in this endeavor?

A

Completely supportive

B

Somewhat supportive

C

Neutral

D

Not supportive

E

N/A

Question 11 of 12

Do you consider yourself to be in good health? How do you combat stress?

Question 12 of 12

What else do you think would be beneficial for me to know prior to our meeting?

Confirm and Submit