COACHING INTAKE FORM
The purpose of this short questionnaire is to allow the Coach to get to know the Client, and allow the Client to further crystallize the goals where coaching and training can assist. 

All answers are beneficial to our coaching relationship and moving the client forward.

Our coaching will be a combination of what I refer to as  'backstage' or traditional style coaching and 'on-stage' work which brings in a training aspect to our work.

BACK-STAGE WORK | COACHING
Based on the Beckhard-Harris change model, the traditional style coaching principles used are anchored in the Client having:
- a dissatisfaction with the current state
- a vision for change
- the will to do the work.

Coaching is present and future focused. Coaching is not therapy and is not meant to replace therapy or counselling. 

ON-STAGE WORK | TRAINING 
Once we understand the 'backstage work,' that starts to inform the 'on-stage' work. The training aspect, with your permission, will involve some direct feedback based on any identified skill-gaps as discovered in the 'back-stage' work.

While a broader goal is established to guide the coaching relationship, each meeting a smaller goal will be set together between Client and Coach to enable progress. 
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Name *
Title *
Pronouns (Optional)
Email *
Description of current work
BACK-STAGE WORK│COACHING
COACHING EXPERIENCE | Speak to any past experience with coaching
Have you experienced coaching before?
Clear selection
What were some key learnings for you?
What didn't work as well for you?
If yes, what do you want to further investigate/learn/question/test during this engagement?
OVERALL GOALS FOR COACHING 
What are your long term goals? *
What are your short term goals? *
What is currently preventing you from achieving your goals?
Looking back 6 months to 1 year from now, what must happen for you to feel completely satisfied with you're progress
SETTING EXPECTATIONS | understanding what you are seeking from a coach so you can benefit from this relationship
What are your expectations for coaching?
What are your expectations of me as your coach?
ON-STAGE WORK | TRAINING
Have you received feedback from anyone in regard to your learning opportunities?
Clear selection
If yes, what was that feedback?
What are your learning objectives for the training aspect of this work? This relates to your communications skill & style including body language and vocal tone.
What is the best way for me to offer feedback
Clear selection
How can I best support you?
What else do would you like me to know?
Submit
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