Are you ready for Coaching?
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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Next
Start by selecting the number that comes closest to representing how true the statement is for you right now.
*
Rows
Score 1=No and 5=yes
1. I have goals to strive for and I'm ready and eager to tackle them.
1
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5
2. I could use an honest, outside perspective. I can handle honest feedback.
1
2
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5
3. I need some additional support in reaching my goals. I am ready to look at things differently and learn new skills and habits.
1
2
3
4
5
4. I will do the things I say I will do. If something is difficult for me, I will discuss this with my coach so that we can work around it.
1
2
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5
5. I could use someone to help me focus, challenge me, and hold me accountable to my commitments.
1
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5
6. I will be open and truthful with my coach.
1
2
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5
7. My work and personal life are out of balance and I don't like the consequences.
1
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5
8. I'm willing to make changes to have the life I want.
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5
9. I will honestly commit to the time needed for appointments and can be relied upon to be on time and ready for all of my appointments.
1
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5
10. I understand that achieving goals takes time; Rome was not built in one day. I am willing to invest all of the time required to achieve my goals.
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5
11. I am flexible and willing to look at things differently and learn new skills and habits.
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5
12. I am fully willing to do the work required and understand that the success of coaching is up to me.
1
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5
Calculation
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Should be Empty: