Coaching Intake Form Name * First Name Last Name Email * Mobile * Country (###) ### #### Q1. Coaching is not therapy. Are you seeking for therapy? * Yes No Not sure Q2. What brought you to coaching? * Describe your challenge, goal, and what makes it important for you to seek support? Q3. What have you tried in the past with regards to this challenge/goal? * Q4. What are your expectations from your coach? * Be as upfront as you can so that we can better assess if there's an alignment. Q5. What is your preferred mode of communication with your coach? * Choose all that applies Email SMS WhatsApp Phone call Q6. Coaching, in accordance to ICF's definition, does not include mentoring or advisory. At Strengths Navigator, we offer blended coaching, which can involve mentoring or advisory, when appropriate and beneficial to the coachee. What's your preference with regards to pure coaching or blended coaching? * Pure coaching, i.e. please don't offer mentoring or advisory.. Blended coaching, i.e. I am happy to receive mentoring or advisory. Doesn't matter. Apply either when appropriate. Q7. Your coach is your sounding board, thinking partner, listening ear, and for some, trusted advisor. However, your coach is not necessarily your accountability partner. In coaching, the coachee grows when they take personal accountability, i.e. their success depends on their willingness to take the actions they committed to. Do you agree to take personal accountability? * Yes No Not sure Thanks for your submission, and we look forward to connecting with you soon.