New Client Questionnaire

We are excited to be working with you! The details captured below will help us to customize your coaching experience and allow us to move quickly towards your goals together, be it greater influence, becoming a more confident speaker, honing your leadership skills or learning how to resolve conflicts.

Please complete this form and submit it prior to your first coaching session.

First Name

Last Name

Email Address

Phone

How did you discover NobleEdge Executive Coaching?

Age / Birth Date

Occupation

Employer / How long?

What is your primary reason for seeking coaching?

What is the best thing about your life right now?

What are three things you are "putting up with" right now?

What keeps you up at night?

What 2 - 3 areas would you like to focus on for coaching?

Of the areas you wish to focus on, what is the most significant change(s) you'd like to make?

On a scale of 1 (lie to me) and 10 (brutally honest), how assertive would you like your Coach to be in helping you meet your goals? (please explain)

How motivated are you to move forward? (1 Star - not very / 5 Stars - extremely motivated)How motivated are you to move forward? (1 Star - not very / 5 Stars - extremely motivated)

Have you completed any of the following leadership assessments?

Birkman Method

Conflict Dynamics Profile

DiSC

Gallup StrengthFinders

Myers-Briggs Type Indicator (MBTI)

360 Assessment

Other

No, I have not completed any leadership assessments.

Do you have supportive family and friends? *

Yes, they're great!

No, but I'd like that.

It's complicated.

Is there anything significant your Coach should be aware of that would affect your schedule?

Is there anything else that your Coach should know about you - for example, personal details, coaching preferences, habits, life facts, etc.?

Thank you!

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