MySkypeCoach.com

Hello:
Please complete this short but invaluable questionnaire that will help me prepare for our very first session. It should take approximately 15-30 minutes to complete the questionnaire. Your responses will be strictly confidential and your information will be coded and will remain confidential. I'm really looking forward to working with you. Please start with the survey now by clicking on the Continue button below.

Kamilah Lewis, MBA
MySkypeCoach.com

Please enter your INITIALS ONLY!

On a scale of 1 – 10 [1 being lowest and 10 being highest] provide a number that represents your CURRENT level/degree of stress:

There are a few different aspects and emphases in how I coach people. I want to make sure that we tailor your coaching to your needs. To help understand your expectations, please tell me how important each of the following are to you:

Brainstorming Strategies Together

Insight into Who You Are and Your Potential

Exploring and Removing Blocks and Obstacles to Your Success

Support

Encouragement

Validation

Accountability; Checking up on Goals

Working through Self-Improvement Programs Together

Suggesting or Designing Action Steps

Exploring How My Thoughts and Beliefs May Create Negative Patterns in my Life

Painting a Vision of What You Can Become or Accomplish

Planning and Time Management

Directness: Asking Hard Questions; Challenging You to Move Forward

Creating and Working On A Road Map to Your Professional/Personal Vision

Looking at Things from A Different Perspective

Changing My Attitude

What are the 3 goals you want to achieve over the next three months?

What are the three biggest changes you want to make in your life over the next three years?

What major life events have you experienced 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.)

What tends to discourage you or take away your motivation?

* What are your goals for coaching? Please be as specific and as detailed as possible.

* Have you ever had coaching before? (IE success coach, executive coach, speech coach, business coach, etc. DO NOT include sports coaching)

YES