Let's Talk - Shift Your Game

Let’s lay the foundation for your next leadership leap.

Kindly complete this brief form ahead of our first conversation.

Contact Information

1. Full Name *

2. Preferred Name/Nickname *

3. Best Email *

(Please use the same as you provided for appointment booking)

4. Phone number *

5. Current Role *

Professional Snapshot

1. Briefly describe your current role and responsibilities. *

2. What are the top 2–3 achievements in your career that you’re most proud of? *

3. What leadership strengths do you believe set you apart? *

Coaching Goals

1. What prompted you to seek coaching at this time? *

2. What are your top three goals or challenges you’d like coaching to support? *

3. What specific outcomes would you like to achieve through coaching? *

4. How will you know coaching has been successful for you? *

Current Challenges

1. What are the biggest challenges you’re facing in your role today? *

2. Which of these challenges impact you the most? *

3. Where do you feel stretched and stuck? *

Leadership & Growth

1. How would your colleagues or team describe your leadership style? *

2. Are there specific skills or behaviors you’d like to develop? *

3. What does “success as a leader” look like for you in the next 12–18 months? *

4. What do you consider your greatest strengths as a leader? *

5. Outside of work, what brings you energy, joy or balance? *

Coaching Preferences

1. How do you prefer to receive feedback? (direct, exploratory, reflective, etc.) *

2. What’s the best way to hold you accountable for action steps? *

3. Is there anything I should know about your working style or personality that will help us collaborate effectively? *

Final Reflection

1. What’s one word that describes the leader you want to become? *

2. What’s one thing you want me to know about you as we begin this coaching journey? *

3. What is the best way for me to challenge and support you during our coaching sessions?

4. What is the one thing you most want to get out of this coaching partnership? *

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