DO YOU NEED COACHING?

The following is a quick and easy Self Assessment Tool that can help you determine if you would benefit from coaching. The form asks questions in a number of different domains of your life; both professional and personal.

As you answer the questions, notice which questions you respond with “struggle with this” or “needs work”. These are all areas in which coaching would be beneficial.

After you complete the assessment, you can send the results to our office and we will contact you to set up a complimentary coaching session. In your session we will have an opportunity to review your Self Assessment form and you can receive coaching in any area of your personal or professional life.

This is a great opportunity to experience coaching in real time without any financial risk.

Confidential Self-Assessment Form

Question Scale:
1-Excellent
2-Very Good
3-Needs work
4-Struggle with this
5-Not aware of it's importance

Example: How would you rate your coaching skills? 1 2 3 4 5

Name:
Email:

1. My ability to build and maintain relationships is
   

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2. My communication skills are
   

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3. I would assess my ability to build and maintain trust as
   

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4. When trust is broken my skills at rebuilding it are
   

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5. I have a clear vision for my personal and professional life
   

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6. I truly believe this vision is possible for me
   

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7. My actions, thoughts and words match this vision
   

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8. I have complete faith in my abilities
   

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9. I am earning the money I want to earn
   

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10. I save and invest wisely
    

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11. I pay my bills on time or early
    

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12. I would assess my skills at handling breakdowns as
    

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13. I have clear boundaries with others
    

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14. I would assess my leadership skills as
    

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15. There is little waste of "human capital" due to friction between managers, salespeople and direct reports
    

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16. My teams communicate well with one another
    

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17. I assess my personal care as (eat well, exercise, down time)
    

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18. I take time off BEFORE I hit burn-out
    

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19. My spouse/partner is supportive of my career objectives
    

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20. I manage my time well
    

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21. People can count on me
    

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22. I have enough quality time with my family
    

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23. I handle tasks that I don't enjoy right away
    

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24. My personal and professional lives are well balanced
    

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25. I understand the benefits of coaching
    

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26. I am open to learning and I implement new learning
    

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27. I am coachable
    

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