Name
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First Name
Last Name
Company (if applicable)
Email
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What would you like to get out of coaching?
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Describe your current job or role?
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What are your strong points? What are your weak points?
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What motivates? How do you tend to sabotage yourself?
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How do you release stress and create a healthy life balance?
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1) Customer Impact
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a. I continuously put the customer first in all strategic planning and or any decision that could impact the customer (both positively and negatively)
b. I’m aware of what our customers are asking for and receive weekly communication about their opinions or thoughts
c. I communicate to my customers to find out what they want and how satisfied they are with what they are receiving
d. I establish ways to ensure customer satisfaction is measured and tracked
e. My team shares my perspective on customer orientation and impact
f. I’m aware of why our customers leave us and think daily on how to retain them
2) Strategic Orientation
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a. I hold a clear vision of my organisation, it is shared by the board, team and entire organisation
b. I devote enough time each week to focus on strategy that is creative and innovative
c. I actively (weekly) work on activities to drive this vision across team or organisation
d. 80% of my time is around thinking and working 2-5 years in advance. I don’t spend more than 10% of my week on detail
e. I have a strong global awareness and understand market impacts on our goals and objectives
f. I consider myself and expert in finding solutions by taking a holistic, abstract, or theoretical perspective
3) People Leadership
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a. I can create a vision that my team and organisation believe in
b. I undergo a leadership assessment or team 360 at least twice a year
c. I have and can continue to lead large scale change successfully
d. My direct reports trust me and feel that they are being developed
e. My team continuously goes the extra mile for me and the organisation
f. I always listen and respond constructively to team decisions ideas or discussions
4) Market Knowledge
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a. I have a strong and technical knowledge of the product or service my company offers
b. I have a strong and technical knowledge of the product or services that our competitors offer
c. I consider myself a marketer and know how to drive financial sales through consumer response
d. I understand my organization's strengths and weaknesses as compared to competitors.
e. I strategically collaborate and partner with other organisations
f. I stay abreast of business, industry, and market information that may reveal business opportunities
5) Communication / Collaboration
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a. I feel as if I receive enough communication to do my role successfully
b. I feel as if I give enough communication to my team to allow them to do their job successfully
c. I’m a strong public speaker, good listener and I'm often told this by others
d. I get enough support from my direct boss or Board
e. I network or socialise with the right people (in and out of work)
f. I spend time thinking before speaking or responding to questions
6) Commercial Orientation
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a. I’m aware of the political, economic, socio-cultural and technological factors that affect my organisations long term strategy
b. I read weekly and sometimes daily the issues or impacts in my industry
c. I have more than enough information to make the right commercial decisions
d. I have high levels of courage around taking risks that impact my organisation and I often take these risks
e. I belong to at least 2 networking groups within my industry
f. I understand the significant factors that have impacted my industry in recent years and what could have helped positively impact these issues. I can speak about these confidently with experts and I'm considered a thought leader
7) Results Focused
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a. I consider myself financially competent with our numbers and this is a daily occurrence I practice. I have access to enough information to make effective decisions
b. I stay within my overall budget and continuously achieve financial targets or KPI’s
c. I have access to enough information to make decisions. I’m confident in my ability to perform my job to exceed expectations
d. I trust my team in the information that they provide me and my team trust me in my decisions
e. My team is results focused and driven
f. I maintain a high commitment to goals, even in the face of obstacles and frustration
8) Me
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a. I maintain a healthy work and life balance
b. My health is in good condition, stress levels are relatively low and I receive a good medical report every time I visit my doctor
c. I have fun inside and outside of work
d. I have a personal or professional plan that I’m working on
e. I display the right levels of integrity, authenticity, sincerity and generosity and have no issue taking an unpopular view or decision
f. I spend at least 10 hours a week with friends and family doing activities I enjoy outside of work
Anything else to share?
