AMedSG Executive Coaching Client Questionnaire

Academic Medicine Strategy Group

Executive Coaching Client Questionnaire

Thank you for taking the time to complete this questionnaire. There are no right or wrong answers, so take as much time as you need. Some questions capture where you are today; others will help you get curious about what you want from coaching, your career, and your life more broadly. Your answers help us set a strong foundation for your coaching relationship.

Name

Preferred Email

Preferred Phone

Institution / Department

Title / Position

Coaching

1. What do you want to be sure to get from the coaching relationship?

2. How do you want me to be as your coach?

3. What do you want to work on with coaching?

4. What two steps could you take immediately that would help you move forward?

5. What can I say to you when you are stuck that will help you move forward?

6. What changes might you need to make to help your coaching be successful?

Career

1. What do you want from your career?

2. What projects are you involved with?

3. What are your key career goals?

4. What skills or knowledge are you developing?

5. How do your career goals support your personal goals?

6. What do you want to do to support your career goals?

7. What do you need to change to help your career move forward?

Personal

1. What special interests do you have?

2. What special knowledge do you have?

3. What do you believe in strongly?

4. Tell me about a time when you were operating in a peak performance phase, when things were going really well or you were very pleased with what you were doing or accomplishing. Do not be humble. What was going on? Who was involved? What feelings did you have?

5. What do you do when things get stressful?

6. What activities have special meaning for you?

7. What vision do you have for your life?

8. Tell me about your family and personal life.

9. Tell me about significant events in your life.

Academic Medicine Strategy Group

Executive Coaching Client Questionnaire

Coaching

Career

Personal

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