Complimentary Consultation

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,  send the results to our office and we will contact you to set up a complimentary consultation. During your consultation, we will review your Self-Assessment, discuss some of the current challenges you are facing and explore new ways to approach these challenges. 




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
  2. My communication skills are
  3. I would assess my ability to build and maintain trust as
  4. When trust is broken my skills at rebuilding it are
  5. I have a clear vision for my personal and professional life
  6. I truly believe this vision is possible for me
  7. My actions, thoughts and words match this vision
  8. I have complete faith in my abilities
  9. I am earning the money I want to earn
  10. I save and invest wisely
  11. I pay my bills on time or early
  12. I would assess my skills at handling breakdowns as
  13. I have clear boundaries with others
  14. I would assess my leadership skills as
  15. There is little waste of "human capital" due to friction between managers, salespeople and direct reports
  16. My teams communicate well with one another
  17. I assess my personal care as (eat well, exercise, down time)
  18. I take time off BEFORE I hit burn-out
  19. My spouse/partner is supportive of my career objectives
  20. I manage my time well
  21. People can count on me
  22. I have enough quality time with my family
  23. I handle tasks that I don't enjoy right away
  24. My personal and professional lives are well balanced
  25. I understand the benefits of coaching
  26. I am open to learning and I implement new learning
  27. I am coachable

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