Coaching Discovery Questionnaire
Welcome!
Thank you for taking a few minutes to complete this questionnaire. Your responses will help me understand your current challenges, goals, and where you need the most support so we can make the most of our coaching session.
Section 1 – About You
How many years have you worked in healthcare?
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Section 2 – Current Situation
6. Which best describes your current role?
7. What is your biggest challenge right now?
8. On a scale of 1–10, how overwhelmed do you currently feel?
1 = Not at all 10 = Extremely overwhelmed
9. On a scale of 1–10, how hopeful are you that your current situation can improve?
1 = Calm and in control 10 = Completely overwhelmed
10. What keeps you awake at night?
Section 3 – Goals
11. If coaching is successful, what would be different in six months?
12. What are your top three goals?
13. What have you already tried?
Section 4 – Readiness
14. How committed are you to making meaningful changes?
Scale 1 not ready 10 completely committed
15. What do you believe is preventing you from moving forward?
Section 5 - Coaching Fit
17. Which areas are you interested in receiving coaching on?
18. Have you worked with a coach before?
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19. What would make this coaching experience successful for you?
Section 6 - Investment
20. Are you prepared to invest in professional coaching if we determine it's a good fit?
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21. Is there anything else you'd like me to know before we meet?
22. If we were having this conversation one year from today, what would need to happen for you to say this coaching experience was one of the best investments you've made in yourself?