Embaya coaching Questionnaire Personal informationName *Surname *Email Phone GoalsWhat 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? PERSONAL HISTORYWhat would you say have been the three greatest accomplishments in your life to date? What is the hardest thing you have ever had to overcome Who are or have been your major role models, and Why? What major transitions have you had 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 o Your LifeWho are the key people in your life and what do they provide for you? Is your life one of your choosing? If not, which parts are being chosen for you? What are your primary stressors? List five (5) things that you are tolerating or putting up with in your life at present. (i.e. – information you cannot find, rude people, poor lighting, tight shoes, dented car, job dissatisfaction, dead plants, broken equipment, old appliances, etc.) On a scale of 1 – 10, 10 = HIGH, provide a number that represents your current level/degree of stress: CareerWhat do you want from your career? What are your key career goals? What can you do to advance the company's / department's / organisations objectives? How do your career goals support your personal goals? What do you have to contribute that is unique? Tell me about a time when you were operating at "peak performance", when things were going well for you, you were "on top of your game", you were pleased with what you were doing or accomplishing. What was going on? Who else was involved? How did you f To the best of your ability, please list all the tasks you need to do in your job role on a weekly and monthly basis (KPI -Key performance indicators) COACHING YOU.What would you expect or like your Coach to do if you fall behind on your goals? How will you know when you are receiving value from the Coaching process What types of approaches discourage you or take away your motivation? VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
