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Are You Coachable?

Rate your present state on a scale from 1 - 5 (1 being the lowest and 5 being the highest).


Name: *
E-mail Address: *
Best Contact Phone Number: *
Can be relied upon to be on time and prepared for all calls and appointments. * 1
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4
5
This is the right time for me to receive coaching. * 1
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4
5
I am fully willing to enter into a coaching relationship where I do the work of what I want most. * 1
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5
I keep my word without struggle or sabotaging. * 1
2
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5
I will try on new concepts or different ways of doing things. * 1
2
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5
I will speak straight (tell the truth) to the coach. * 1
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5
If I feel I am not getting what I want or expect from the coaching relationship, I will share this sense as soon as possible and demand that I get what I want and need from the relationship. * 1
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5
I am willing to stop or change self-defeating behaviors which limit my success. * 1
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I am someone who can share the credit for my success with the coach. * 1
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5
* Required Create Email Forms


Contact Glyniel Garner for your free coaching session

 
New Horizon Coaching Associates, P.O. Box 5174, Ocala, FL 34478, Phone: (678) 720-5842, Fax. (352) 680-1066
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