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Participant Profile

Please take time to answer the questions on this form. Some of the questions capture information about where you are today. Others will get you thinking about what you want from coaching, from your job, and from life in general. This information will set a good foundation and allow us to move forward.

Please Submit This Prior to the First Meeting.

Participant Information General

First Name(Required)

Last Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile

Phone Number

Email Address(Required)

Work Information

Job Title

Years with Company

Coaching

What do you want to ensure you get from the coaching relationship? What specific outcomes are you seeking?

How can I best support you as a Coach?

CAREER

What do you want from your job?

What projects are you leading?

What are your key job goals?

What skill or knowledge are you developing?

How do your job goals support your personal goals?

What else can you do to advance the company's objectives?

Personal

What do you have to contribute that is unique?

What special knowledge do you have?

What do you believe in?

What do you do when you're really up against it?

What activities have meaning and heart for you?

What needs in the world are you moved to meet?

What two steps could you take immediately that would make the greatest difference in your current situation?

What can I say to you when you are most 'stuck' that will return you to action?

Send me an e-mail copy of my answers.

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Participant Profile

Participant Profile

Participant Information General

Work Information

Coaching

CAREER

Personal

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