Clients - database
Dear Coachee,
Welcome! This survey is designed to understand your coaching needs better and match you with the perfect coach who can support your journey towards achieving your goals. Please take a few moments to answer the following questions as accurately as possible.
Name
*
First Name
Last Name
Your Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Non-Binary/Third gender
Prefer not to say
Please, upload your profile photo (optional)
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of
Email
*
example@example.com
Phone Number (+country code followed by your mobile number)
*
-
Country Code
Phone Number
Your Country of Origin
*
The Country in which you are resident
*
Your website, if you have one
Please tell us about you
What are your primary goals for seeking coaching? (Select all that apply):
*
Career Advancement
Leadership Development
Entrepreneurial/Startup Guidance
Work-Life Balance
Personal Development
Other
Current Occupation/Industry:
1. Technology & IT
2. Healthcare
3. Finance & Banking
4. Education & Academic
5. Manufacturing & Engineering
6. Retail & Consumer Goods
7. Public Sector & Non-Profit
8. Marketing & Communications
9. Human Resources
10. Legal & Compliance
11. Real Estate
12. Entrepreneurship & Startup
13. Management Consulting
14. Energy, Utilities & Renewable Energy
Other
Years of Professional Experience:
*
Key Professional Achievements (up to 5):
*
Promotion to a Leadership Position
Successful Project Completion
Award Recognition
Revenue Growth
Cost Reduction
Product Launch
Market Expansion
Team Development
Process Improvement
Client Acquisition
Innovation
Publication
Speaking Engagements
Certification
Crisis Management
Community Service
Sustainability Initiatives
Technology Implementation
Customer Satisfaction Improvement
Strategic Partnerships
Other
Select the main language in which you want to be coached
*
Please Select
Arabic
Bengali
Chinese
English
Filipino
French
German
Hindi
Italian
Japanese
Javanese
Korean
Malay
Persian
Portuguese
Russian
Spanish
Tamil
Turkish
Urdu
Vietnamese
Select an alternative language in which you want to be coached
Please Select
Arabic
Bengali
Chinese
English
Filipino
French
German
Hindi
Italian
Japanese
Javanese
Korean
Malay
Persian
Portuguese
Russian
Spanish
Tamil
Turkish
Urdu
Vietnamese
In which Country do you spend more time
*
Please Select
Australia
Brazil
Canada
China
Denmark
Egypt
Finland
France
Germany
Hong Kong
India
Italy
Japan
Kenya
Luxembourg
Malaysia
Netherlands
Oman
Poland
Qatar
Russia
Saudi Arabia
Singapore
South Africa
South Korea
Thailand
Turkey
United Arab Emirates
United Kingdom
United States
Vietnam
Zimbabwe
In which modality you want to be coached?
*
In-Person
Virtual (e.g., Zoom, Skype)
Phone
Email/Text Messaging
Combination of the above
Other
Have you worked with a coach before? If yes, what did you find most beneficial?
*
What coaching style do you prefer? (Select all that apply)
*
Directive (Offering specific advice and direction)
Non-directive (Facilitating self-discovery and solutions)
Supportive (Providing encouragement and support)
Analytical (Focusing on data and structured approaches)
Other
What specific outcomes do you hope to achieve through coaching? (select up to 4)
*
Improved Leadership Skills
Enhanced Communication Abilities
Increased Productivity and Efficiency
Better Time Management
Career Advancement or Transition
Work-Life Balance
Stress Reduction and Improved Mental Health
Conflict Resolution Skills
Personal Goal Achievement
Improved Decision-Making Skills
Enhanced Team Performance
Financial Management and Wealth Building
Boosted Creativity and Innovation
Strengthened Professional Relationships
Enhanced Public Speaking and Presentation Skills
Greater Self-Confidence and Self-Esteem
Development of a Strategic Vision for Career or Business
Improved Negotiation Skills
Enhanced Customer Service Skills
Mastery of Specific Technical or Professional Skills
Other
How frequently would you like to have coaching sessions?
*
Weekly
Bi-weekly
Monthly
As needed
What duration of coaching engagement are you considering?
*
1 single session
Intense program within 1 month
3 months
6 months
12 months
Open-ended
Is it important for your coach to have experience in your specific industry or field?
*
Yes
No
Not sure
What are your key criteria for selecting a coach?
Not Important
Somewhat Important
Important
Very Important
Relevant Experience and Expertise
Coaching Certification and Credentials
Compatibility with Coaching Style
Cost of the sessions
Understanding of Specific Industry or Sector
Success Stories and Client Testimonials
Communication Skills and Approachability
Flexibility in Coaching Delivery Methods (e.g., in-person, virtual)
Personal Chemistry and Rapport
Availability and Accessibility
Alignment with Personal and Professional Goals
What is your budget for one coaching session?
*
Less than 50 USD
50-100 USD
101 - 150 USD
151 - 200 USD
200 - 300 USD
Above 300 USD
What is your budget for one entire coaching Program?
*
Less than 250 USD
250- 500 USD
501 - 1,000 USD
1,001 - 2,500 USD
2,501 - 5,000 USD
Above 5,000 USD
Is there anything specific you would like your coach to know about you? (max 500 words)
*
0/500
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