Pre Coaching Assessment Form
This form is to clarify purposes, goals and objectives of the coaching sessions to meet the desired results of both coach and coachee. Please answer all questions honestly for best results.
Age: *
Name *
Email *
Contact Number (WhatsApp) *
How do you think coaching will help you achieve your goals? *
What would you like from your coach during your sessions: score on a scale of 1-10 where 1 is not at all and 10 is extremely important: *
10 points
Gaining clarity of issues
Understanding what is important / what motivates me
Exploring and understanding what is holding me back
Gaining an insight into who I am, my strengths, capabilities and potential
Providing encouragement and support
Helping define goals
Helping to identify action and next steps
Challenging you with difficult questions
Providing honest and direct feedback
Making you accountable for your goals
How will you know when you are receiving value from the coaching process? *
What 3 goals do you want to achieve within the next 3 months *
On a scale of 1-10 how committed will you be to the coaching process? *
not committed
fully committed
Is there anything else you wish to share or for that we should know? *
Privacy Policy
Coach Jasmine and her team under the John Maxwell Team are committed to keeping your personal details private and confidential. Anything shared in this form or during coaching sessions and assignments will be kept strictly private and confidential in accordance with the Personal Data Protection Act 2010 of Malaysia (“PDPA”).
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