Coachability Assessment Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastMobile Number (U.S.) *Mobile Number Outside of the U.S.Email *Comment or Message Let this assessment help you determine for yourself if you are ready for and will benefit from coaching. The following questions are designed to help you ponder and look inside yourself and your desires, natures and propensity for growth and development. If you answer honestly after having given serious thought, you will come to understand more about yourself and your potential to grow within a coaching relationship. If you determine that you can benefit from coaching, know that your progress will be directly related to the effort you put into the process. Coaching is an investment of time, energy, effort, and financial resources. Please complete the following assessment by scoring each statement from 1 – 5 with 5 being the highest level of agreement. We will tally your responses and contact you with our observations.I am curious and enjoy learning Selected Value: 3 I am open to feedback from credible sources Selected Value: 3 I enjoy challenges Selected Value: 3 I am open to change Selected Value: 3 I like the idea of setting and accomplishing goals Selected Value: 3 I know my strengths and am open to developing new ones Selected Value: 3 I am "Coachable" Selected Value: 3 I am open with my thoughts and feelings Selected Value: 3 I strive to be authentic Selected Value: 3 I accept responsibility for my own success Selected Value: 3 Mistakes and failures are stepping stones to success Selected Value: 3 I have supportive a family and friends in my personal and professional develoment Selected Value: 3 I don't quit when things get tough Selected Value: 3 I want and expect to win in life Selected Value: 3 I study and enjoy personal development Selected Value: 3 My success is directly related to my willingness to put in the effort and do the work Selected Value: 3 I understand that like everyone, I have weaknesses and am committed to overcome them on my way to success Selected Value: 3 I enjoy learning new things about myself and get excited about using them Selected Value: 3 I am generally successful in my ventures and pursuits Selected Value: 3 I expect to improve Selected Value: 3 I want a better understanding of the goals process and am willing to learn Selected Value: 3 I acknowledge that I may need help in realizing my wild and bodacious goals Selected Value: 3 I have written goals Selected Value: 3 I don't have written goals but are willing to start Selected Value: 3 I realize that there is a financial commitment within a coaching relationship, and I have the means and or support to invest in my future Selected Value: 3 I’m tired of the status quo and want to discover new pathways to greater success Selected Value: 3 I understand that success is a process that doesn’t happen overnight Selected Value: 3 I have unrealized strengths and I want to discover and understand them Selected Value: 3 I am unafraid to try new things Selected Value: 3 I need help realizing my potential Selected Value: 3 When I see value, I move ahead with an investment in my future Selected Value: 3 I could use help to understand and develop my strengths Selected Value: 3 I want more from life and am willing to pay the price Selected Value: 3 I want a coach that will do what’s necessary to understand me and my nature. I am prepared to interview with more than one coach if I don’t feel completely comfortable after meeting with you in a preliminary / introductory session Selected Value: 3 I know what I want in a coach Selected Value: 3 I am ready to move ahead with a coaching relationship now Selected Value: 3 I am organized and will commit to keeping our appointments and will be punctual Selected Value: 3 I will allow you to take and keep notes on our sessions with the understanding that they are confidential and not accessible to anyone Selected Value: 3 I understand that coaching is not therapy Selected Value: 3 I am accountable to myself for the commitments I make towards goals and success Selected Value: 3 Submit
