Coaching Readiness Survey Coaching Readiness Survey 1. I feel lost, and as though I have come to a point where I don’t know who I am, where I fit, or what I really want. * 1 2 3 4 5 1 never, 5 is very often 2. I doubt myself and wonder if I have what it takes to accomplish my goals. * 1 2 3 4 5 1 never, 5 is very often 3. I have a goal or vision, but have no clue as to how to achieve it. * 0 1 2 3 4 5 0 is not at all true, 5 is extremely true. 4. I'm worried about my health. * 0 1 2 3 4 5 0 is not at all, 5 I am extremely worried. 5. I tend to forget things, like picking up the dry cleaning or taking out the trash. * 1 2 3 4 5 1 never true, 5 always true 6. I have self-confidence * 0 1 2 3 4 5 0 is always, 5 is never 7. Want to reach your goals this year? * Yes No If you are human, leave this field blank. SUBMIT RESPONSE
