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For each one of the statements, choose from 1 (not at all) to 5 (totally) the behaviour that most describes you. 

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Question 1 of 10

There are 10 questions in this assessment, and we'd like you to grade your answer from 1 to 5, as follows: 

1 meaning not at all 

2 meaning a little 

3 meaning somewhat 

4 meaning a lot 

5 meaning totally!

 

Here we go:

 

1. I can be relied upon to be on time for all calls and appointments.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 2 of 10

2. This is the right time for me to accept coaching.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 3 of 10

3. I am ready to create space for the coaching process.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 4 of 10

4. I am ready to take concrete actions towards my goals.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 5 of 10

5. I keep my word.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 6 of 10

6. I will speak straight (tell what is really true) to the coach.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 7 of 10

7. I will provide feedback to the coach on how the coaching process is serving me and especially when I feel it is not helping as much as I had hoped.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 8 of 10

8. I am open to receiving feedback from the coach; that is non-judgemental and with my best interest at heart.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 9 of 10

9. I am open to see situations/issues from different perspectives.

A

1 (not at all)

B

2

C

3

D

4

E

5 (totally)

Question 10 of 10

10. Please leave here any comment, suggestion or question you might have:

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