Are You Coachable? – Quiz

The following quiz should only take about 5-7 minutes of your time.
Your answers can reveal your level of readiness to begin the coaching journey.

Please respond to each statement with the answer that is most true for you right now. Don’t over-think your response.  Typically your first response is most accurate.  The only “right answer” is the one that reflects your truth, with no judgment.

Your information is kept strictly confidential and you will only be contacted with your permission.

Name Email
1. 

I am willing to consider new possibilities for myself.
Less True......1........2.......3.......4......5......More True

2. 


I am curious to figure out new approaches and ways of doing things.
Less True......1........2.......3.......4......5......More True

3. 


I am open to try new ideas, methods and concepts when things are not working.
Less True......1........2.......3.......4......5......More True

4. 


I am willing to develop parts of myself that may have been neglected.
Less True......1........2.......3.......4......5......More True

5. 


I am willing to reflect on my experience and observe myself in action.
Less True......1........2.......3.......4......5......More True

6. 


I will choose to be reliable and on-time for calls and appointments.
Less True......1........2.......3.......4......5......More True

7. 


I am willing to take action versus just think about taking action.
Less True......1........2.......3.......4......5......More True

8. 


I realize no one has all the answers and am willing to live with uncertainty and ambiguity.
Less True......1........2.......3.......4......5......More True

9. 


I will do the assignments between coaching calls and IF I don’t finish some, I’ll get curious about what I allowed to get in the way.
Less True......1........2.......3.......4......5......More True

10. 


If I think that I am not receiving what I need or expect I will say so; will speak straight (tell my truth) to the coach.
Less True......1........2.......3.......4......5......More True

11. 


I want to be held accountable to do the work and will let my coach do the coaching.
Less True......1........2.......3.......4......5......More True

12. 


I will be open to honest feedback and candid assessments.
Less True......1........2.......3.......4......5......More True

13. 


I have a strong commitment to live a more authentic life.
Less True......1........2.......3.......4......5......More True

14. 


I will be honest about my current situation.
Less True......1........2.......3.......4......5......More True

15. 


I am willing to acknowledge where I am stuck in life.
Less True......1........2.......3.......4......5......More True

16. 


This is the right time in my life for coaching.
Less True......1........2.......3.......4......5......More True

17. 


I know this is the right time in my life for coaching because…
Please write your answer in the box below

18. 


I am willing to change or eliminate any self-defeating behaviors that limit my success.
Less True......1........2.......3.......4......5......More True

19. 


I feel coaching will be an important and worthwhile investment in my life.
Less True......1........2.......3.......4......5......More True

20. 


I believe coaching to be important and will budget the funds necessary.
Less True......1........2.......3.......4......5......More True

21. 


Three things in my life that I want to change in the next 3-6 months are:
Please write your answer in the box below

22. 


I am interested in the following types of coaching.
Select the type of coaching that is needed:

23. 


When coaching occurs:
Best vehicle for me:

24. 


I am interested in having Cynthia contact me
Please write down the best way to contact you and any ideal times of day to reach you.

25. 


Click the box below to request a complimentary 15 minute consultation

26. 


Did you record your answers on a separate piece of paper?
Please note this form does not automatically update your totals.


QUIZ COMPLETE: Click the Submit Button to TOTAL your score.