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Address

5900 Balcones Dr Suite 7275 Austin, TX 78731

Email Address

gregoryburt@www.powertoheal.net

Phone

(757)750-1456

Client Coaching Questionnaire

NAME: *

DATE:

ADDRESS:

V/CODE:

PHONE:

MOBILE:

Email *

As coach, it's important for me to understand how you view the world in general and yourself in particular. Each person has a unique way of thinking and a unique way of interacting with those around him or her.

Answer each of these questions as clearly and thoughtfully as possible, expressing the best of who you are. These are "pondering" questions designed to stimulate your thinking in a particular way that will make our work together even more productive. I suggest that you take several days to compose your responses to these questions. Thank you.

Coaching

What do you want to make sure you get from the coaching relationship? (maybe write down 2 or 3 things that occur to you)

How do you want me to be as your coach?

What do you want to work on in coaching?

What two steps could you take immediately that would make the greatest difference in your current situation(s)?

What can I say to you when you are most "stuck" that will return you to action?

What changes might you need to make in order to help your coaching be successful?

If you trusted your coach enough to tell him or her how to manage you most effectively, what tips would you give?

Career (if applicable)

What do you want from your career / job?

What are your key career goals?

What skills or knowledge are you developing?

How do your career goals support your personal goals?

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