Great Minds Coaching

Please complete the attached to determine your readiness for coaching. Following my review of your results I will get back with you within 24 hours to discuss fit, focus and the process by which we might work together.

A copy of your answers will be provided to you by return email.

*(denotes required field)

Name: *

E-Mail Address: *

Phone

Instructions

Please rate yourself on a scale of one to five (1=disagree to 5=strongly agree) on each of the following statements.

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I believe what I want is possible and I am ready to make it happen!

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I am an optimistic person.

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I have clearly assessed my current situation and I know where I want to go.

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I am willing to make the appropriate changes to accomplish my desired outcomes.

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I am assume total responsibility for the results I produce.

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Several of my trademarks are courage, integrity, work ethic, and fortitude.

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I am known by others as a team player.

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I am noted for creating and sustaining meaningful relationships.

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My decision/actions are based on my personal values.

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I am committed to producing quantifiable results.

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Commitments are commitments, I keep them!

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I welcome opportunities to work outside my comfort zone.

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I have a clearly defined support system.

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I feel strongly that I have untapped potential.

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I am a person on whom my friends and associates can rely.

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I readily bounce back from failures and setbacks.

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I have a healthy relationship with money.

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Personal development is one of my highest priorities.

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