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RAIT(C) Pre
Coachee Name
*
First
Last
Coach Name
First
Last
Company Name
*
Date Questionnaire Completed
*
DD slash MM slash YYYY
dd/mm/yyyy
Phone Number
*
Include country code if known
Country
*
Email
*
How IMPORTANT to you is ...?
1
IMPORTANCE
10
Least
Most
1: We focus on future possibilities and not past mistakes
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2: We tend to work on problems at the level at which they occur.
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3: Our meetings have the time available to accomplish our agenda.
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4: She/He provides and/or prescribes solutions
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5: He/She recognizes that internal obstacles are often more daunting than external ones
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6: Where we meet is comfortable and relaxed
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7: The emphasis is on learning not instructing
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8: Pro active coaching is used
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9: Meeting venue allows me to concentrate
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10: She/He is spontaneous and not time dependant
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11: He/She see people in terms of their future potential, not just past performance
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12: Our work together is supported with clear documentation
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13: Builds awareness, responsibility and self belief as my goal
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14: Building up my self esteem
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15: Exercises and tasks between coaching sessions are valuable
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16: Encourages me to make decisions to take successful actions
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17: She/He helped me recognize my full responsibilities
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18: Meeting location
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19: Facilitated my self awareness
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20: Encouraged me to take on further responsibility
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21: Pace of learning
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22: Quality feedback and input was given
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23: My self motivation was helped
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24: Quality of handouts, materials, notes provided, etc.
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25: My choices were made clear
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26: He/She provoked proactive and focused thought
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27: Frequency of coaching meetings
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28: She/He focused on my attention and observation capabilities
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29: He/She helps me eliminate obstacles (internal and external) to achieve my goals
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30: Timing of Coaching Messages
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Filed Under:
Neuro Coaching Forms
