Intentional Solutions Coaching & Consulting - Coaching Readiness Questionnaire

I understand what coaching is and is not.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I believe partnering with a competent coach can expedite results for me.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I see coaching as a positive way to achieve success in one or more areas of my life.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I am willing to go through the self-exploration process.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I am willing to be open, curious, and flexible. Including being willing to "try on" new concepts or different ways of doing things.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I will participate in, and support, open and honest communication as part of the coaching process.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I am willing to stop or change self-defeating behaviors that limit my success.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I am willing to set goals and take actions to achieve them.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

I can be relied upon to keep my coaching appointments.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

This is the right time for me to take advantage of coaching.*

	1	2	3	4	5

1 is Not True, 5 is Extremely True

Calculation
What are three things you would like to change or accomplish in the next three to six months?*
How will you feel once you've achieved your desired outcomes?*
What's kept you from making these changes?*
What will you miss out on if a year from now nothing has changed? How will you feel?*
What else would you like to share?

How motivated are you to improve the areas of your life or achieve the outcomes noted above?*

	1	2	3	4	5	6	7	8	9	10

1 is Extremely Unmotivated, 10 is Extremely Motivated