To ensure we connect you with the right coach, please provide us with some additional information.
Name *
Email *
Phone *
Title *
What do you hope a coach will help do for you? Clarify your career / work goals?Improve my relationship / effectiveness within my sphere of influence?Improve your current work situation?Make a “grace and productive” exit from work?Work on stress reduction and self care?Reduce obstacles and barriers to moving ahead?Navigating through the political arena of my organization?Build a more accountable team?Set vision, build alignment and create an executable (measurable) plan?Other
How long have you been in your position? Less than 1 year1-3 years3-5 years5-10 years10+ years
What is your reputation at work?
What would you like to change / improve upon as it relates to your reputation?
Do you feel successful in your role? Why or Why Not?
What is your greatest professional pain at work?
Describe the formal leadership development and/or leadership assessments you've completed in the past.
Describe your experience with executive coaching. What worked? What didn't work?
In a few words, explain your desired outcome from a coaching partnership.
Who is within your sphere-of-influences (levels, titles, key constituents and stakeholders)?
If you were to project out 12 to 18 months – what would your ideal view of your personal and professional life be?
What current areas of focus do you believe are preventing you from achieving your goals and desired outcomes?
What leadership assessments have you completed? Emotional Intelligence360°DiSCTotal SDIMyers BriggsDenison Cultural AwarenessFive Behaviors of a Cohesive TeamOther
Why is "now" a good time for executive coaching?
How many direct reports do you have?
What is their level?
How functional and productive are your team members?
What methods do you use to engage your team members?
