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Performance Coaching Review

Please fill out this questionnaire to provide feedback about your coaching experience so far. You will receive an email with your completed survey for your own records.

Click the button below to start.

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Question 1 of 32

Full Name

Question 2 of 32

Preferred Email Address

Life Ratings Update

For the following areas of life, please rate your current level of satisfaction  (10 = completely satisfied, 0 = completely unsatisfied)

Question 4 of 32

Hobbies / Leisure / Play

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 5 of 32

Career (being a sought after expert or resource)

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 6 of 32

Job (the work you do with your mind and body on a daily basis)

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 7 of 32

Income (the monthly or annual income you generate)

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 8 of 32

Wealth (building long term wealth and financial stability)

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 9 of 32

Legacy (contributing to humanity or your community)

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 10 of 32

Sex

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 11 of 32

Intimacy & Romance

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 12 of 32

Relationship with significant other / desire to have a relationship

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 13 of 32

Parenthood / Desire to become a parent

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 14 of 32

Relationship with mother

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 15 of 32

Relationship with father

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 16 of 32

Relationship with siblings

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

N/A

M

I'd rather not say

Question 17 of 32

Relationship with close friends

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 18 of 32

Health and Well Being

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 19 of 32

Physical Fitness

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 20 of 32

Peace of Mind

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 21 of 32

Spirituality and Faith

A

10

B

9

C

8

D

7

E

6

F

5

G

4

H

3

I

2

J

1

K

0

L

I'd rather not say

Question 22 of 32

Please enter any ratings for areas of life not covered (optional). If none, type "None."

Goals & Objectives Review

In this section please provide an update about your goals and objectives since beginning coaching.

Question 24 of 32

Since the last time you answered this survey, what specific measurable results have you produced?

Question 25 of 32

What would you like to be acknowledged for having accomplished since your last assessment?

Question 26 of 32

Please rate how confident you feel about achieving your medium-term goals. (1 - Not confident at all, 5 - very confident)

A

1

B

2

C

3

D

4

E

5

Question 27 of 32

Considering the progress you have made, what specific result do you want to produce as we continue coaching and why? (Please be as specific as possible)

Coaching Feedback

In the next section, please provide feedback about my coaching.

Question 29 of 32

Please rate how valuable coaching with me has been for you and your business relative to the price you have paid.

A

1 - Not valuable at all

B

2

C

3

D

4

E

5 - Extremely valuable

Question 30 of 32

Please provide any feedback about my coaching. How can I serve you better? What do you need or want from me as your coach?

Question 31 of 32

How likely are you to recommend coaching with Ed Kennedy to a friend or colleague?

A

0 - Not likely

B

1

C

2

D

3

E

4

F

5

G

6

H

7

I

8

J

9

K

10 - Very likely

Question 32 of 32

Do you know any other women business owners or entrepreneurs who would benefit from my coaching? Please provide their name and email address below. If they book a package with me you get a free session! Thank you for supporting my business and helping their business grow! If none, simply type None below.

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