As an executive, how would you rate the impact of each one of the following coaching themes?
Thank you for taking the time to fill out this form. It is intended to evaluate your experience towards results from your coaching. We appreciate your honesty.  We need effective feedback from you so we can improve and grow and serve you better in the future.

Angelos Derlopas, MSc, PCC
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Email *
Your Name *
Role in the organization *
Your Organization
Location *
How many coaches have you had so far? *
What's the impact of creating awareness (on knowledge, importance or urgency) *
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What's the impact of attitudinal change?  (on curiosity, insights or having to relearn what's learned differently in the past) *
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What's the impact of creating trust in the coaching process? *
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What's the impact of re/defining values in the workplace? *
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What's the impact when exploring assumptions that were always left unquestioned? *
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What's the impact when you are having the difficult conversations? (on core habits or habitual thinking) *
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What's the impact when tackling the system's entropy? *
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What could be something else that's impactful but is not included above?
Would you like us to send you the results of the survey? *
Would you like to get our newsletters? *
Date (mm/dd/yyyy) *
One last thing (you would like to add)
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