Name *
Name
First Name
Last Name
What would you like to get out of coaching?
Please describe your professional role (company, position, areas of responsibility, number of employees you manage, work long hours, etc)? *
As a percentage, how would you score your effectiveness in your role or profession (from 0 - 100%)? *
What are your three biggest goals or challenges right now? *
What are your three biggest strengths in fulfilling your role? *
What three things would make your role easier to fulfil? *
What motivates you? *
How do you tend to sabotage yourself? *
How do you best learn? *
How do you release stress and or look after yourself on a regular bases? *
What are your strong points? What are your week points? *
What have you given up on in life? *
When were you happiest in your life? When were you unhappiest in your life? *
What do you want the rest of your life to be about? *
Score yourself in each of the following areas? *
Score yourself in each of the following areas?
Use the scale of STRONGLY DISAGREE through to STRONGLY AGREE for each of the below categories. Base your answers on how you feel at this particular time.