Business Accelerator Assessment Form

Business Accelerator Assessment Form

As a new business coaching client, we ask that you complete this Business Accelerator Assessent form so we can better review your opportunities and challenges before working with you. Don’t worry if some of the questions dont seem to apply – or if you feel that not being able to answer some questions will present you in a less than positive manner. We look at all attributes, experiences, subject matters and ideas and there are many areas we would like to explore with you as you build your exciting new future!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age:
Marital Status:
Business Name:
Type of Business:
Your website:
Tell us your story. (yep, right back to your childhood, whatever you feel is important to share.)
What are you proud of most—in your professional life and your personal life?
What did you love to do when you were 6 years old? Look closely: how does that still relate to what you love to do today?
Is there a common theme in your struggles—from childhood until now?
What big leaps can you identify—moments that catapulted your success?
What has energized and excited you over the years?
What has drained you over the years?
What have been your glass ceilings—the invisible blocks that have held you back the most?
What is the most you've ever earned in a year on a consistent basis?
What's held you back the most over your life?
Links to your social media profiles/pages:
List your previous and current professional experience:
List your education and certifications:
Do you have children, and if so, please list and indicate their ages:
What other pertinent personal information you would like us to know?
What is the primary reason you invested in business coaching?
What do you want to achieve as we work together?
What sensitive issues should be avoided (if any)?
What are some of your most important needs over the next 90-180 days? Please list at least 3 things.
Tell us what you'd like us to know about you?
What is the deepest, underlying reason you are seeking to build your business?
If you already have a business, tell us about your business and career background. Please tell us as much as you feel is important.
Do you have any media or other accomplishments you want to share?
What are your hobbies?
List your business NEEDS for the next 12 months here:
Do you have any residual income from your business? If so, please explain.
Do you have a solid sales formula for your business? If so, pease explain.
Are you prepared to answer difficult questions?
Have you had a coach or coaches before? If yes, who, what for, and for how long?
Are you willing to follow through on all of your coaching sessions? What are some of the things that might prevent you from completion? (Please take time to list them here.)
What did you like/dislike about your previous coach? (list what you remember the most)
Please state all the areas you want covered in your coaching sessions. (list them here)
Have you read any motivational books or attended any personal development seminars? If yes, please list them here.
What did you learn from the books you read and seminars you attended that you have implemented into your life and business? Please take the time to answer this here.
What are some of the most significant events in your life?
What are some of the goals you want to achieve in 1 YEAR?
What are some of the goals you want to achieve in 2 YEARS?
What are some of the goals you want to achieve in 5 YEARS?
What are some of the goals you want to achieve in 10 YEARS?
Please list (3) three things we should know before your coaching sessions:
Please explain your family situation:
What are some things we can do together to grow your business? Please check all the areas of interest from the list below:
Do you have other areas you'd like to develop? If so, state them here:
What are your top 5 Signature Strengths: (CliftonStrengths at Gallup.com)
Do you know what your Kolbe Index A is?
What would you love to accomplish that currently seems impossible?
Should be Empty: