NEEDS ASSESSMENT

Please type your responses to all questions. All information provided is private and confidential.

Click the button below to start.

Start

Question 1 of 36

Q1. What would you like to accomplish through coaching that, if accomplished, would make you feel this was the best coaching program you have ever taken?

Paragraph answer

Question 2 of 36

Q2: What are the three biggest changes you want to make in your life/business over the next three months?

Paragraph answer

Question 3 of 36

Q3: What would you say have been your three greatest accomplishments in your life to date?

Paragraph answer

Question 4 of 36

Q4: What is the hardest thing you have ever had to overcome? And what pulled you through it?

Paragraph answer

Question 5 of 36

Q5: Who are or have been your major role models?

Paragraph answer

Question 6 of 36

Q6: What major transitions have you had in the past two years?

(i.e. entering or approaching a new decade of life, a new relationship, a new job, a new role, a new residence, changes in children’s ages/stages of life, separation, divorce, death of a loved one, birth of a child, marriage, etc.)

Paragraph answer

Question 7 of 36

Q7: Who are the key people in your life and what do they provide for you?

Paragraph answer

Question 8 of 36

Q8: Is this life one of your choosing? If not, which parts are being chosen for you?

Paragraph answer

Question 9 of 36

Q9: On a scale of 1-10, 10 = HIGH, provide a number that represents your current level/degree of stress.

Paragraph answer

Question 10 of 36

Q10: What are your primary stressors?

Paragraph answer

Question 11 of 36

Q11: List five (5) things that you are tolerating or putting up with in your life at present.

(i.e. information you cannot find, rude people, poor lighting, tight shoes, dented car, job dissatisfaction, dead plants, broken equipment, old appliances, etc.)

Paragraph answer

Question 12 of 36

Q12: What are your top 5 values?

Paragraph answer

Question 13 of 36

Q13: How will you know when you are receiving value (i.e. your money’s worth) from the coaching process?

Paragraph answer

Question 14 of 36

Q14: What types of approaches discourage you or take away your motivation?

Paragraph answer

Question 15 of 36

Q15: Which area(s) need to be emphasized for you?

(Select all that apply)

A

Self-Confidence

B

Goal Setting

C

Control Stress

D

Energy/Vitality

E

Communication Skills

F

Managing People

G

Presentation Skills

H

Motivation

I

Leadership Skills

J

Human Relations

K

Selling Ideas

L

Decision Making

M

Focus/Vision

N

Delegation

O

Teamwork

P

Closing Skills

Question 16 of 36

Q15 (continued): Why would these areas be important?

Paragraph answer

Question 17 of 36

Q16: Do you have a personal or professional vision? If so, what is it?

Paragraph answer

Question 18 of 36

Q17: What would you like to contribute to the world?

Paragraph answer

Question 19 of 36

Q18: What is a dream or goal you have given up on reaching?

Paragraph answer

Question 20 of 36

Q19: What part of yourself, if any, have you given up on?

Paragraph answer

Question 21 of 36

Q20: On a scale of 1-10, 10 = HIGH, rate the quality of the life you lead today:

Paragraph answer

Question 22 of 36

Q21: The biggest challenge I face in my job/life is…

Paragraph answer

Question 23 of 36

Q22: What skills are most important to the success of the organization and/or your team within the company over the next year?

Paragraph answer

Question 24 of 36

Q23: What do you need to improve? Why?

Paragraph answer

Question 25 of 36

Q24: Why are you here?

Paragraph answer

Question 26 of 36

Q25: What would you say is the problem?

Paragraph answer

Question 27 of 36

Q26: How is that a problem?

Paragraph answer

Question 28 of 36

Q27: How long have you had the problem?

Paragraph answer

Question 29 of 36

Q28: What happened the first time you had this?

Paragraph answer

Question 30 of 36

Q29: Is there a purpose for this problem?

Paragraph answer

Question 31 of 36

Q30: Are you the cause for the creation of this problem? If not, who/what is?

Paragraph answer

Question 32 of 36

Q31: How will you know when the problem has totally disappeared?

Paragraph answer

Question 33 of 36

Q32: Why do you want to let go of the problem?

Paragraph answer

Question 34 of 36

Q33: What will happen when you get your outcome? What will you feel? How will your family (business associates) react to you letting go of your problem?

Paragraph answer

Question 35 of 36

Q34: What do you really want, specifically?

Paragraph answer

Question 36 of 36

Q35: Do you have any physical limitations that we should know about?

Paragraph answer

Confirm and Submit

Name

Email

Subscribe to our email list

NEEDS ASSESSMENT

Click the button below to start.

Q1. What would you like to accomplish through coaching that, if accomplished, would make you feel this was the best coaching program you have ever taken?

Q2: What are the three biggest changes you want to make in your life/business over the next three months?

Q3: What would you say have been your three greatest accomplishments in your life to date?

Q4: What is the hardest thing you have ever had to overcome? And what pulled you through it?

Q5: Who are or have been your major role models?

Q6: What major transitions have you had in the past two years? (i.e. entering or approaching a new decade of life, a new relationship, a new job, a new role, a new residence, changes in children’s ages/stages of life, separation, divorce, death of a loved one, birth of a child, marriage, etc.)

Q7: Who are the key people in your life and what do they provide for you?

Q8: Is this life one of your choosing? If not, which parts are being chosen for you?

Q9: On a scale of 1-10, 10 = HIGH, provide a number that represents your current level/degree of stress.

Q10: What are your primary stressors?

Q11: List five (5) things that you are tolerating or putting up with in your life at present. (i.e. information you cannot find, rude people, poor lighting, tight shoes, dented car, job dissatisfaction, dead plants, broken equipment, old appliances, etc.)

Q12: What are your top 5 values?

Q13: How will you know when you are receiving value (i.e. your money’s worth) from the coaching process?

Q14: What types of approaches discourage you or take away your motivation?

Q15: Which area(s) need to be emphasized for you?

Q15 (continued): Why would these areas be important?

Q16: Do you have a personal or professional vision? If so, what is it?

Q17: What would you like to contribute to the world?

Q18: What is a dream or goal you have given up on reaching?

Q19: What part of yourself, if any, have you given up on?

Q20: On a scale of 1-10, 10 = HIGH, rate the quality of the life you lead today:

Q21: The biggest challenge I face in my job/life is…

Q22: What skills are most important to the success of the organization and/or your team within the company over the next year?

Q23: What do you need to improve? Why?

Q24: Why are you here?

Q25: What would you say is the problem?

Q26: How is that a problem?

Q27: How long have you had the problem?

Q28: What happened the first time you had this?

Q29: Is there a purpose for this problem?

Q30: Are you the cause for the creation of this problem? If not, who/what is?

Q31: How will you know when the problem has totally disappeared?

Q32: Why do you want to let go of the problem?

Q33: What will happen when you get your outcome? What will you feel? How will your family (business associates) react to you letting go of your problem?

Q34: What do you really want, specifically?

Q35: Do you have any physical limitations that we should know about?

Confirm and Submit

Q6: What major transitions have you had in the past two years?

(i.e. entering or approaching a new decade of life, a new relationship, a new job, a new role, a new residence, changes in children’s ages/stages of life, separation, divorce, death of a loved one, birth of a child, marriage, etc.)

Q11: List five (5) things that you are tolerating or putting up with in your life at present.

(i.e. information you cannot find, rude people, poor lighting, tight shoes, dented car, job dissatisfaction, dead plants, broken equipment, old appliances, etc.)