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"It is never too late to be what you might have been."
- George Eliot
Career Background
Name
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First
Last
Email
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Define your current role in one sentence
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How long have you been in this role?
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How Effectively do you feel you're fulfilling your role as it's defined, as a percentage?
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What are your three biggest challenges to fulfilling your role?
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What are your three biggest strengths for fulfilling your role?
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What three things would make your role easier to fulfil?
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Who do you report to?
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Who reports to you?
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Any additional information you think may be relevant about your career
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Personal Information
What are your three top personal values?
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How well do these values align with those of your company? Define each value as a percentage.
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Any other comments about you and your business you think i should know as your coach?
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List three things you would like out of coaching:
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Any additional information you think may be relevant to the coaching?
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Company Information
What business are you in, in one sentence?
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What are the three main pressures on your industry right now?
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How are products or services made, distributed and sold?
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Whats happening in management?
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Whats happening in your remuneration?
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Anything happening in how your teams are organised?
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Whats happening in IT and Operations?
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What are your company's three biggest challenges right now?
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What has been your company's three biggest wins lately?
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Rate the following areas out of 10.
Where 10 means you are totally happy with the area, it supports you and your vision for your business, and 5 means the area is half way there.
Family Life:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Social Life:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Health:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Level of Personal satisfaction:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Main Relationship:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Community Life:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Stress Levels:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Sense of Balance
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Submit