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Free Coaching Readiness Assessment


Name: Company:
E-Mail: Phone:
Street:
City: State: Zip: Question/Comments:


Instructions - Part I: In Column A indicate how much you value each factor
using a scale from 1=low to 9=high.

Instructions - Part II: In Column B indicate your performance on each factor.
1=low to 9=high.

A Factors B

Joy/Laughter

Clear intention everyday

Coaching skills

Focus on the present goal

Broaden perspectives

Able to let go of interference

Improve efficiency and effectiveness

Capitalize on strengths

Personal growth

Health / Fitness

Open to change


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