Are you likely to significantly benefit from Coaching?

1I am someone who is curious about how to explore changes to further myself.

1 Less True 2 3 4 5 More True

2I have some specific goals for myself that I am currently motivated to reach.

1 Less True 2 3 4 5 More True

3I find it very useful to collaborate with others and to have a partner to help me to reach my goals.

1 Less True 2 3 4 5 More True

4People have told me that a strength I have is knowing when to get assistance from others which can help me to perform better.

1 Less True 2 3 4 5 More True

5I tend to take feedback in a non-defensive manner in which I truly consider what people tell me.

1 Less True 2 3 4 5 More True

6I think that I have strengths and capabilities which I have not yet truly tapped.

1 Less True 2 3 4 5 More True

7The idea of someone supporting and guiding the process of meeting my numerous goals and desires is very intriguing to me.

1 Less True 2 3 4 5 More True

8I am open to considering new perspectives and ideas for various aspects of my life.

1 Less True 2 3 4 5 More True

9Lifelong learning, education, and self improvement are among my greatest values.

1 Less True 2 3 4 5 More True

10I recognize that important areas in my life are out of balance and I want to work to correct this imbalance so I feel more grounded, fulfilled, and content.

1 Less True 2 3 4 5 More True

11People have told me that I am solutions-oriented and someone who takes action to achieve change.

1 Less True 2 3 4 5 More True

12Some words that describe me well include: inquisitive, interested, and inquiring.

1 Less True 2 3 4 5 More True

13I think that I could use assistance with identifying and developing my core strengths.

1 Less True 2 3 4 5 More True

14I recognize that I will not feel completely fulfilled if I do not explore ways of developing myself (personally or professionally) and I am willing to do what it takes to make this happen.

1 Less True 2 3 4 5 More True

15One of my deepest values is the ability of humans to grow and develop.

1 Less True 2 3 4 5 More True

16I would like to become more focused, efficient, or clear in the process of goal attainment.

1 Less True 2 3 4 5 More True

17There are important goals in my life that I have not yet reached but would like to begin the process of meeting them starting today.

1 Less True 2 3 4 5 More True

18I believe that I could further myself by making some changes. I am not sure what my goals are or what changes I want to make in my life but I know that I want to find out.

1 Less True 2 3 4 5 More True

19If someone were to ask me when I would like to begin making significant changes in my life or relationships, I would respond by saying "right now," and not "later," "soon," or "in the next month."

1 Less True 2 3 4 5 More True

20I am willing to take the primary responsibility for doing the necessary action steps that will help me to move ahead.

1 Less True 2 3 4 5 More True

21I do not have difficulty with meeting deadlines, generating results, or sticking with a timetable for goal accomplishment.

1 Less True 2 3 4 5 More True

22If asked to write down the top 3 major changes I would like to make in my life over the next 3 months, I would have no problem answering.

1 Less True 2 3 4 5 More True

23I can clearly see and articulate how working with a professional coach would benefit my life right now.

1 Less True 2 3 4 5 More True

24Someone has recommended coaching to me or told me about coaching and I have thought, "what an excellent idea!"

1 Less True 2 3 4 5 More True

25I have a strong desire to make my life more focused, simple, clear, or satisfying.

1 Less True 2 3 4 5 More True

26I believe that working with someone who has a more objective view can significantly help me to see things in my life differently.

1 Less True 2 3 4 5 More True

27If someone were to provide me with constructive criticism, I would carefully consider what they had to say, ask others for feedback as well, and then take action.

1 Less True 2 3 4 5 More True

28I am ready right now to dedicate the time, energy, and finances to make real changes in my life that can last for a long time.

1 Less True 2 3 4 5 More True

29I am very interested in figuring out how I have created obstacles to my own success.

1 Less True 2 3 4 5 More True

30I would like to have someone help me to recognize what is working well in my life and how I can capitalize on my strengths to figure out how to create and reach my goals.

1 Less True 2 3 4 5 More True

31I am someone who values diversity of perspectives and opinions.

1 Less True 2 3 4 5 More True

32Many times I think that it would be great to have an objective partner help me to navigate through specific lifechanges and find great success.

1 Less True 2 3 4 5 More True

33Even if I have not taken the time for my own happiness and development in the past, I am ready to begin doing so now.

1 Less True 2 3 4 5 More True

34I could be described as: questioning, curious, and enthusiastic.

1 Less True 2 3 4 5 More True

35Investing my time, energy, finances, and other resources in my satisfaction and fulfilment sounds like a very sound investment to me.

1 Less True 2 3 4 5 More True

36I do not have a psychological disorder (e.g., depression, anxiety, eating disorder) that is unstable or untreated.

1 Less True 2 3 4 5 More True

37I am someone who is (or who is working on becoming) future oriented, rather than living in or dwelling on the past.

1 Less True 2 3 4 5 More True

38Throughout my life, I have often been curious about how I can develop myself and perform my best in several areas of my life.

1 Less True 2 3 4 5 More True

39I can commit to being on time and prepared for my coaching sessions even if I have a lot of other things going on in my life.

1 Less True 2 3 4 5 More True

40I recognize that coaching requires a financial investment and I believe that it is worth it.

1 Less True 2 3 4 5 More True

41have no reason to believe that therapy would be a better resource for me than coaching right now OR I have received an evaluation by a psychologist who stated that coaching is the more appropriate option for me.

1 Less True 2 3 4 5 More True

42If, while working with a coach, my coach gave me specific homework assignments or action steps to do, I am confident that I would work hard to complete them between sessions.

1 Less True 2 3 4 5 More True

43I am worried that I may never discover my true potential if I do not do some work on that discovery process.

1 Less True 2 3 4 5 More True

44I have attempted to make changes or embark on the process of meeting my largest goals on my own, but have not been entirely successful. I think that a partner who will assist me would benefit me more than a consultant who would give me specific advice.

1 Less True 2 3 4 5 More True

45I understand that a coach will help me to recognize solutions, strengths, and opportunities, but will not do things for me or tell me exactly what to do in every scenario I raise.

1 Less True 2 3 4 5 More True

46Others have remarked that I appear particularly motivated and interested in getting the most I possibly can out of my career or life.

1 Less True 2 3 4 5 More True

47I am not looking to reduce or solve a problem, such as an anxiety disorder, instead, I am interested in promoting growth and development right now.

1 Less True 2 3 4 5 More True

48I know the difference between therapy, consulting, and coaching and I believe that coaching would best meet my needs right now.

1 Less True 2 3 4 5 More True

49I am eager to have a professional serve as a partner to support my growth and development process.

1 Less True 2 3 4 5 More True