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Pre - Member Assessment 2026
Please complete the following member assessment to empower the most productive coaching program. All identifiable information will be kept confidential.
*
1.
Personal Information:
(Required.)
Name
Country
Email Address
Phone Number
2.
Program of Interest
1:1 High Performance Coaching
Mindset Skills for High Performance Sport
Team Coaching
Business Foundation and Mindset
Personal Development and Mindset
Integrated Excellence Train Your Mind Experience
Leadership Development
Corporate Program Design and Implementation
Bespoke Event
Counselling Psychologist
Family Therapist
*
3.
What best describes your primary job function?
(Required.)
*
4.
How many months have you worked for your current organization?
(Required.)
Less than 6 months
Between 6 and 12 months
Between 1-3 years
More than 3 years
None of the above
*
5.
How many months have you been in your current position at work?
(Required.)
Less than 6 months
Between 6 and 12 months
Between 1-3 years
More than 3 years
N/A
Other (please specify)
What best describes the last 6 months in your work/life?
*
6.
Transitioned to a new company and/or a new role.
(Required.)
Yes
No
*
7.
Helped manage a significant change initiative at my organization.
(Required.)
Yes
No
*
8.
Been working toward a career or role change.
(Required.)
Yes
No
*
9.
Experienced a significant increase in my level of responsibility at work.
(Required.)
Yes
No
*
10.
Responsibilities that are new, different, and/or unfamiliar.
(Required.)
1
Never
2
3
4
5
Always
RATE:
1
Never
2
3
4
5
Always
*
11.
A high level of pressure
(Required.)
1
Never
2
3
4
5
Always
RATE:
1
Never
2
3
4
5
Always
*
12.
What would you value most from coaching right now?
(Required.)
*
13.
If you had an additional hour every week to dedicate toward professional or personal development, what would you rather invest it in:
(Required.)
*
14.
Do you have a general goal that you would like to work toward?
(Required.)
*
15.
Which of the following best describes the primary goals/topics you want to work on?Choose all skills that support this goal:
(Required.)
Building Relationships
Emotional Regulation
Flow
Calm
Coaching
Strategic Planning
Empowerment
Self-Compassion
Recognition
Energy
Social Connection
Authenticity
Relationship Building
Cognitive Agility
Empathy
Encouraging Participation
Alignment
Encouraging Ownership
Engagement
Feedback
Focus
Growth Mindset
Influence
Mindfulness
Motivating
Open Communication
Participation
Problem Solving
Purpose
Recognizing
Resilience
Risk Tolerance
Sense of Control
Trust Climate
Values
Executive Presence
Communication Skills
Presenting
Career Development
Counselling Psychology
Psychotherapy
Other (please specify)
*
16.
It is important to me to make significant progress on this goal:
(Required.)
Within a month
Within three months
Within six months
Within one year
Other:
*
17.
How confident are you that you can make significant progress on this goal/topic?
(Required.)
1
Not confident
5
Highly Confident
RATE:
1
Not confident
5
Highly Confident
*
18.
I want to spend a lot more time on my professional and personal development.
(Required.)
1
Strongly disagree
5
Strongly agree
RATE:
1
Strongly disagree
5
Strongly agree
*
19.
When do you plan to start actively working with a coach?
(Required.)
*
20.
Ideally, how often would you like to meet with a coach?
(Required.)
Once a week
Once every 2 weeks
Once every 3 weeks
Other:
21.
If you are experiencing more change than usual, please use a few words to describe the changes you are experiencing. (Optional)
*
22.
Have you received professional coaching prior to Inspiring Excellence coaching?
(Required.)
Yes
No
*
23.
When engaging with a coach I prefer a style that offers:
(Required.)
Mostly hands on
Depends
Mostly hands Off
*
24.
When working towards goals, I prefer a style that is:
(Required.)
Explorative
Not sure
Focused
*
25.
Right now is a good time for me to begin working with a coach.
(Required.)
1
Mostly disagree
2
3
4
5
Mostly agree
RATE:
1
Mostly disagree
2
3
4
5
Mostly agree
*
26.
I have a clear understanding of what I would like to work on with my coach.
(Required.)
1
Mostly disagree
2
3
4
5
Mostly agree
RATE:
1
Mostly disagree
2
3
4
5
Mostly agree
*
27.
I am open to investing in my personal development right now.
(Required.)
1
Mostly disagree
2
3
4
5
Mostly agree
RATE:
1
Mostly disagree
2
3
4
5
Mostly agree
*
28.
I believe I can achieve meaningful change or growth by working with a coach.
(Required.)
1
Mostly disagree
2
3
4
5
Mostly agree
RATE:
1
Mostly disagree
2
3
4
5
Mostly agree
*
29.
What do you want to gain from coaching?
(Required.)
*
30.
With 0 as no progress toward this goal(s) and 10 as achieving this goal(s), where do you stand today?
(Required.)
1
No progress toward this goal(s)
2
3
4
5
6
7
8
9
10
Achieving this goal(s)
RATE:
1
No progress toward this goal(s)
2
3
4
5
6
7
8
9
10
Achieving this goal(s)
31.
What is your approximate annual income before tax?
(This helps us tailor recommendations and options for you.)
Under €40,000
€40,000 - €60,000
€60,000 - €80,000
€80,000 - €100,000
€100,000 - €150,000
Over €150,000
Thanks for investing in you!
