Joshua A. Lissauer Coaching, LLC — Client Questionnaire  — www.jalcoaching.com

Client Questionnaire: This free questionnaire has possible areas for us to work on during our Coaching Sessions. It’s designed to assist you in discovering how you might benefit from Coaching.

Instructions: Using the scale from 1 to 5, please rate your current level of satisfaction.

Rating Scale: 1 being the lowest level of satisfaction - 5 being the highest level of satisfaction.


Category 1
: Job Search & Interviewing 

(Rating Scale: 1 being the lowest level of satisfaction - 5 being the highest level of statisfaction.)

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1. How satisfied are you with the impact your résumé generates to potential employers?

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2. How satisfied are you with your interviewing skills?

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3. How satisfied are you with your networking skills?

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4. How satisfied are you with your level of income in your career?

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5. How satisfied are you with your negotiating skills?


Category 2
: Personal Growth & Self-Improvement 

(Rating Scale: 1 being the lowest level of satisfaction - 5 being the highest level of satisfaction.)

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6. How you satisfied are you with your ability to take risks?

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7. How satisfied are you with your ability to creatively generate your ideas into actions or products?

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8. How satisfied are you with your overall courage?

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9. How satisfied are you with your overall self-confidence?

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10. How satisfied are you with your ability to focus?


Category 3
: Career Development

(Rating Scale: 1 being the lowest satisfaction - 5 being the highest satisfaction.)

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11. How satisfied are you with your job performance?

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12. How satisfied are you with your leadership skills?

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13. How would you rate your cultural intelligence (e.g., embracing diversity)?

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14. How would you rate your emotional intelligence (e.g., getting along with others)?

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15. How satisfied are you with your work-life balance?

Category 4: Career & Life Goals

(Rating Scale: 1 being the lowest level of satisfaction - 5 being the highest level of satisfaction.)

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16. How satisfied are you with your future growth at your current position at work?

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17. How satisfied are you with your level of education?

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18. How satisfied are you in life, currently?

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19. How satisfied are you with your ability to take on large challenges?

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20. How satisfied are you with your overall happiness?

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21. Please fill out your contact information, so we can discuss your results.  Thank you.

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