Are You Ready To Be Coached? 

Please take a reasonable amount of time to answer the following questions. There are no right or wrong answers. Some of the questions capture information about where you are today. Other questions will make you curious about what you want from coaching, from your career, and from your life in general. Your answers will help us set a strong foundation for the coaching relationship. You may also download a PDF file HERE to and fax it to us.

Name:

Address:

Home Phone:

Work Phone:

Fax Number:

E-mail Address:

Occupation:

1. What do you want to work on in coaching?

2. How do you want me to be as your coach?

3. What do you want to be certain to obtain from the coaching relationship?

4. What two steps could you take immediately that would help you move forward?

5. What can I say to you when yo are stuck that will help you move forward?

6. What changes need to be made within yourself, or your life, to help your coaching be successful?