Jane Midgley Coaching
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Worksheet
Executive Coaching
1.
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Name:
2.
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Email:
3.
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Why are you looking for executive coaching at this time?
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How important is it to you to shift this part of your life in the next six months on a scale of 1-10 with ten being very important and 1 being not much?
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Are you willing to make the executive coaching process a priority for the next six months so you can make the change you desire (we will make it manageable for your schedule but only you can take the steps)?
Yes
No
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What do you consider your biggest obstacle to getting what you want/reaching your vision for you as an executive?
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What is the main question you have about doing executive coaching with me?
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Thank you for your answers. Please hit the Save button. I will review and let you know the next step for getting what you want.
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