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Coaching Call Preparation Form
This is a form to complete before a coaching appointment to help me better support you in reaching your goals.
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1
Full Name
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First Name
Last Name
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2
1. Statement
*
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Strongly Disagree
Disagree
Agree
Strongly Agree
1. I am confident in speaking English.
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I am having trouble with vocabularies.
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I always use a dictionary to find the meaning of unknown words.
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I have difficulty pronouncing words.
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I am afraid of committing mistake in front of other people.
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I have negative experiences in speaking English.
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I love watching movies to learn to speak English
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I am inspired to learn English
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1. I am confident in speaking English.
I am having trouble with vocabularies.
I always use a dictionary to find the meaning of unknown words.
I have difficulty pronouncing words.
I am afraid of committing mistake in front of other people.
I have negative experiences in speaking English.
I love watching movies to learn to speak English
I am inspired to learn English
Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Agree
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Strongly Agree
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3
2. How would you rate your current level of speaking English?
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A2 English (Pre Intermediate)
B1 English (Intermediate)
B2 English (Upper Intermediate)
C1 English (Advanced)
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3. What level of speaking English do you hope to have reached by the end of the course?
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A2 English (Pre Intermediate)
B1 English (Intermediate)
B2 English (Upper Intermediate)
C1 English (Advanced)
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4. What are your objectives for taking this course?
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5. What particular topics do you hope to be covered by the course?
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8
6. What aspects of speaking do you find most challenging?
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Fluency
Vocabulary
Grammar
Pronunciation
All
None
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10
7. What might hinder you from achieving your learning goals?
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11
8. Have you taken any CPD (continuous professional development) courses before?
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Yes
No
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If yes, which?
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13
9. Which CPD course did you like most? Why?
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14
10. Do you prefer to study online, offline or both?
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Online
Offline
Both
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16
11. Do you think this course can positively affect your carrier? How?
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17
12. How confident are you that current course will deliver on your learning objectives?
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18
13. Do you have any questions about upcoming course?
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19
14. Do you have any suggestions for upcoming course?
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