Readiness Survey

Name *

Phone *

Email *

is Coaching for you?

"Our chief want in life is somebody who will make us do what we can."
Ralph Waldo Emerson

What do many successful executives, top athletes, and joyful people have in common? They all use coaches to help them live their dreams and be the best they can be. How about you? Please take just a few moments to fi nd out how ready you are to live life to the fullest and be the best you can be.

On a scale from 1 to 10, rate each of the following statements (if not applicable, score the item a 5).

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • Not at all agree
  • Somewhat agree
  • Totally agree
  Score
I am ready to create more balance in my life
I am ready to improve my personal or business relationships
I am ready to make real and positive changes in my life
I am ready and willing to overcome self-limiting behavior
I am ready to create and take action to achieve my goals
I am ready to achieve a sense of fulfillment at work and in life
I am ready for more fun and enjoyment in my life
I'd like to work less and make more
I can benefit from someone who will help me to stay on track
Sum : 0

Your Score

Coaching is not for you right now

Your Score

Coaching could help you to look at your life from a different viewpoint as well as help you develop a plan to change what it is that you would like to change. However, if you decide to work with a coach now, you should decide and commit that you will take the necessary action for your benefit, or you will not make life-changing improvements.

Your Score

You are ready for a coach right now! You are willing to do whatever it takes to create the life you deserve and desire.