Coaching Intake

Take a moment and tell us about yourself and what you’d like to accomplish through coaching. Once we receive your info, you’ll receive a link to book a complimentary intro to coaching video call.

Name

Email Address

Your current company

Your current role

How long have you been in a leadership role? How long have you been in a leadership role? None Less than 1 year 2-5 years 6-10 years 10+ years

Are you currently leading/managing a team? Are you currently leading/managing a team? Yes No

How may people do you currently manage?

What do you hope a coach will help you achieve? What do you hope a coach will help you achieve? Get unstuck in my career Get promoted or improve my current work situation Clarify work/career goals Improve my communication skills Increase my influence Crisis management Work-life balance, self-care, and stress reduction Something else (please describe in the challenges section)

Describe your desired outcome from our coaching partnership.

What current challenges are preventing you from achieving this outcome?

What are 2-3 of your greatest strengths?

What are 2-3 ways you get in your own way?

How committed are you to coaching? How committed are you to coaching? 1 - Just kicking around the idea 2 - Moderately. Still exploring. 3 - Fully committed. I'm ready to start.

What's your budget

Is this a monthly, or total budget? Is this a monthly, or total budget? Monthly Total

Why did you decide to reach out to Zaki Warfel for coaching?

1 + 5 =

We’re helping leaders create the capacity for transformation to thrive.