Coaching Intake Form – Dr Kristy Goodwin

Coaching
Intake
Questionnaire

I’m delighted to be working with you to power up your performance. So we can hit the ground running in our first call, I’d love to know some more about you and also know what success looks like from your perspective.

Coaching Intake Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region Post Code/Zip Code Country

What’s your tech-frence for communication between our sessions?(Required)

Once a fortnight, between each coaching session, I’ll look at your WHOOP data in the WHOOP Unite dashboard and will provide some tailored feedback outlining your progress and areas of improvement and micro-habits you may want to consider. I’ll post this in the Elevated Coaching Portal. This will also be where you can ask for any feedback, insights or advice, between our coaching sessions (remember, I’ll only check this between business hours Monday- Thursday). What are your ‘tech-spectations’ (i.e. how do you prefer to digitally communicate- video, audio, email, SMS?)(Required)

What are some of the core tasks you perform in your role?(Required)

What’s your job title?(Required)

What are some of the core tasks you perform in your role?(Required)

List 1-3 goal/s you’d like to achieve by us working together.(Required)

Have you previously taken any steps towards achieving these goal/s? What worked and what stopped you achieving these goals?(Required)

What would success look like for you at the end of our time together?(Required)

On a scale of 1 to 10, how would you rate your desire to achieve these goal/s (with 1 being very low motivation and 10 is extreme motivation)?(Required)

On a scale of 1 to 10, how would you currently rate your physical health (with 1 being very poor physical health and 10 being excellent health)?(Required)

On a scale of 1 to 10, how would you currently rate your stress tolerance (with 1 being very poor stress tolerance and 10 being excellent stress tolerance)?(Required)

On a scale of 1 to 10, how would you currently rate your productivity (with 1 being very poor productivity and 10 being excellent productivity)?(Required)

On a scale of 1 to 10, how would you currently rate your levels of exhaustion (with 1 being very exhausted and 10 being energetic)?(Required)

On a scale of 1 to 10, how would you currently rate your focus (with 1 being very poor focus and 10 being excellent focus)?(Required)

Do you know which of the three pillars of powered-up performance that you’d like to focus on first in our coaching (don’t fret, we’ll flesh this out in our first session if you’re unsure)?(Required)

Is there anything else I should know about you before we begin? (i.e. any important health or personal information I should know about you before we work together)? Please rest assured your privacy and confidentiality is assured throughout our entire coaching process.(Required)

Coaching Intake Questionnaire

I’m delighted to be working with you to power up your performance. So we can hit the ground running in our first call, I’d love to know some more about you and also know what success looks like from your perspective.

Coaching Intake Information

Coaching
Intake
Questionnaire