Thank you for investing in your growth. The information you provide is confidential and used solely to tailor your coaching experience.
I consent to the storage and processing of my responses for coaching purposes.
Preferred communication language:
Full name
Preferred name/nickname:
Current job title:
Organization/industry:
Years in a formal leadership role:
0-2
3-5
6-10
11-15
16+
Size of team you directly lead:
None (individual contributor)
1-5
6-20
21-100
101-500
500+
In one paragraph, describe what ‘success’ looks like for you in the next 12 months:
What prompted you to seek executive coaching NOW?
When you are at your best as a leader, what qualities do you demonstrate?
List three core values that guide your leadership (and briefly explain why each matters):
Have you ever written a personal leadership philosophy statement?
Rate the clarity of your long-term (5-year) leadership vision:
Very unclear
Unclear
Somewhat clear
Clear
Crystal clear
Understanding your strengths allows us to leverage them as accelerators.
Describe two accomplishments you are most proud of in the last three years:
Which of these strengths resonate with you? (Select all that apply)
Strategic thinking
Empathy
Decisiveness
Visionary outlook
Operational excellence
Coaching others
Influence & persuasion
Resilience
Other
How do you prefer to receive recognition?
Public praise
Private acknowledgment
Written feedback
Opportunity for stretch assignments
Monetary reward
Other
What recurring leadership challenge keeps you up at night?
Rate how much each item currently limits your effectiveness (1 = not at all, 5 = severely):
Self-doubt/impostor feelings | |
Difficulty saying no | |
Delegation | |
Conflict avoidance | |
Over-commitment | |
Lack of strategic focus |
Have you received constructive 360-degree feedback in the past two years?
Summarize the key themes:
Would you be open to conducting a 360 as part of coaching?
Yes
Maybe later
Prefer not to
How do you generally feel at the end of a workday?
I can accurately name the emotions I am experiencing in the moment.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Under high stress my default tendency is to:
Withdraw
Blame others
Over-work
Seek collaboration
Shut down emotionally
Other
Describe a recent situation where you managed your emotions effectively under pressure:
My preferred learning style is:
Visual (diagrams, charts)
Auditory (discussion, podcasts)
Reading/writing
Kinesthetic (practice, simulations)
Mix of all
How comfortable are you with receiving direct, candid feedback? (1 = not comfortable, 10 = very comfortable)
Which resources energize you? (Select all that apply)
Books
Peer groups
Podcasts
Executive courses
Mindfulness practice
Mentoring others
Stretch assignments
Other
Tell us about the best developmental boss or mentor you ever had – what made them effective?
Preferred session frequency:
Weekly
Bi-weekly
Monthly
As-needed
Open to coach recommendation
Preferred session modality:
Video call
Phone only
In-person (if local)
Mix
Ideal session duration:
30 min
45 min
60 min
90 min
Half-day intensive
Best start time for sessions (your local time zone):
Which outcomes would make coaching ‘worth it’ for you? (Select all that apply)
Promotion readiness
Stronger presence & influence
Improved work-life integration
Enhanced strategic thinking
Better stakeholder relationships
Greater confidence
Team performance uplift
Succession planning
Other
Would you like a post-coaching checkpoint after 6 months?
Preferred format:
30-min call
Email survey
Mini 360 pulse
Other
Great leadership happens in context. Help us understand your key stakeholders.
List the top 5 people (roles or names) whose support you need to succeed and briefly note their current perception of you:
My organization’s culture can be best described as:
Command & control
Purpose-driven
Innovative & risk-tolerant
Hierarchical & bureaucratic
Clan-like & collaborative
Volatile & uncertain
Other
Are you navigating a major organizational change (merger, re-org, new strategy)?
Describe the change and your role in it:
Average nightly sleep (hours):
How often do you take intentional breaks during the workday?
Never
Rarely
Sometimes
Often
Always
Do you have a regular physical exercise routine?
Have you experienced burnout symptoms in the past year?
Please describe the signs you noticed:
I can access support when I need it (friends, family, professionals).
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Baseline data helps measure progress. All assessments are optional and confidential.
Would you be willing to complete a validated Emotional Intelligence assessment?
Would you be open to a 360-degree leadership assessment?
Would you like to track psychometric measures (stress, resilience) via short pulse surveys?
What personal commitment are you ready to make to your development journey?
Is there anything else you want your coach to know?
Signature:
Analysis for Executive Coaching & Leadership Discovery Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
This Executive Coaching & Leadership Discovery Form is a master-class in balancing depth with usability. It positions itself as the gateway to a transformational coaching engagement and delivers on that promise by collecting rich, multi-dimensional data while respecting the executive’s scarcest resource—time. The form’s progressive disclosure keeps early questions light (consent, language preference) before escalating to introspective narrative sections, reducing cognitive overload and early abandonment.
The structure mirrors a best-practice coaching intake: context → vision → strengths → gaps → logistics → commitment. Each section has a clear instructional paragraph that signals why the questions matter, turning data collection into a micro-learning moment. Conditional logic (e.g., "Other" language, 360-follow-ups) keeps the experience conversational rather than interrogative, while the optional assessment section reassures privacy-hesitant leaders that baseline data is voluntary. Taken together, the form maximizes both data quality and the coachee’s first impression of the coach’s professionalism.
Purpose: GDPR/CCPA-compliant consent gate that prevents any data from being saved without explicit permission. For executive clients—who often have heightened privacy concerns—this checkbox is both a legal shield and a trust signal.
Effective Design: Placing consent immediately after the welcome paragraph capitalizes on the reciprocity principle; the user has just read a warm, confidentiality promise, so clicking "yes" feels consistent with the tone rather than a legal hoop. Making it the only mandatory item in the first section creates a low-friction first step, increasing the likelihood of form completion.
Data & Privacy Implications: Because coaching engagements may later involve 360 data, psychometric results, or even medical-adjacent information (burnout, sleep), capturing broad, upfront consent avoids the need for repeated re-consent emails that can break the coaching momentum.
User-Experience Angle: Executives are time-pressed; a single checkbox is faster than a multi-clause e-signature workflow, yet it still satisfies most data-protection audits. The affirmative wording (“I consent…”) frames the user as an active partner rather than a passive data subject.
Purpose: Personalization engine for every future touchpoint—session agendas, invoices, contracts, and celebratory emails. Using the client’s preferred name reduces power distance and accelerates psychological safety.
Effective Design: The parenthetical prompt clarifies that the answer needn’t match a passport, accommodating executives who use anglicized names or nicknames. This small nuance prevents the awkwardness of a coach repeatedly mispronouncing or mislabeling a senior leader.
Data Quality: Free-text rather than split first/last fields avoids parsing errors when cultures have multiple family names, honorifics, or hyphenated surnames. It also future-proofs against CRM import issues that often fracture non-Western names.
UX Friction Risk: Virtually zero; everyone knows their own name. The field is short, auto-complete friendly, and placed early when motivation is highest.
Purpose: Instant calibration of organizational seniority, stakeholder complexity, and likely leadership pressures. A C-suite title triggers deeper strategic-vision questions, while a first-time team-lead title shifts the focus to foundational delegation skills.
Effective Design: Open-text allows for creative titles ("Chief Trouble-Maker") that reveal personality, yet still supplies structured data when normalized later by the coach. Mandatory status ensures segmentation is possible for cohort reporting (e.g., average clarity-of-vision by hierarchy).
Business Implications: Coaches often price engagements or select co-coaches based on scope inferred from title. Missing this field could lead to under-scoped proposals or mismatched chemistry calls.
Privacy Note: Although titles can be identifying, the form’s earlier consent and confidentiality paragraph mitigates concern. No organization name is mandatory, so clients who truly wish to remain incognito can still comply.
Purpose: Creates the North-Star metric against which coaching ROI will later be judged. It also surfaces hidden agendas (promotion, politics, family motives) that might otherwise emerge only after several paid sessions.
Effective Design: The single-paragraph constraint forces clarity and prevents sprawling essays. The placeholder example models specificity (NPS uplift numbers) rather than vague aspirations, subtly teaching the client how to think in outcomes.
Data Richness: Text analytics can later bucket responses into themes—revenue, team engagement, personal well-being—giving the coaching practice aggregate insight into what senior leaders most value.
Risk of Abandonment: Because this is the first long-text mandatory item, the form wisely places it after low-effort demographic questions, ensuring sunk-cost motivation kicks in.
Purpose: Quantifies the leader’s self-identified derailers without triggering social-desirability bias. The 1-5 scale is granular enough to detect change over time yet simple enough to complete on mobile between meetings.
Effective Design: Clustering six common leadership pain points in a matrix reduces screen length and cognitive load compared with six separate questions. The item order—starting with emotional (self-doubt) and ending with cognitive (strategic focus)—mirrors how many executives experience stress.
Coaching Utility: These six items map directly onto popular 360 instruments (Hogan, EQ-i 2.0), enabling the coach to pre-select tools that validate or challenge the client’s self-perception.
Privacy & Sensitivity: Although the questions are introspective, they are framed as common challenges (“keeps you up at night”), normalizing vulnerability and increasing response honesty.
The form’s greatest strength is its narrative arc: it moves from concrete facts to reflective depth, mimicking a real coaching conversation and thereby priming the client for the actual engagement. Mandatory fields are limited to identity, consent, and the single most critical outcome question, striking an optimal balance between data sufficiency and completion rate. Conditional logic and optional assessments prevent the “survey fatigue” that plagues many leadership diagnostics. The inclusion of well-being questions (sleep, burnout) signals a holistic, modern coaching philosophy rather than a purely performance-oriented one.
Minor improvement opportunities include: (1) adding a progress bar for mobile users who may underestimate the form’s length, (2) allowing file upload for existing 360 reports rather than manual re-entry, and (3) clarifying time-estimate language (e.g., “takes ~12 minutes”) to set expectations. Nonetheless, the form already exceeds industry standards for executive-intake experiences and positions the coach as thorough, empathetic, and digitally savvy.
Mandatory Question Analysis for Executive Coaching & Leadership Discovery Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
Question: I consent to the storage and processing of my responses for coaching purposes.
Justification: Without explicit consent, the coaching practice cannot legally store, process, or even email the client back under GDPR/CCPA and similar frameworks. Making this mandatory protects both the client’s privacy rights and the coach from regulatory penalties. It also establishes psychological safety from the very first click, signaling that all subsequent sensitive data (360 feedback, burnout disclosures) will be handled ethically.
Question: Full name (as you wish to be addressed)
Justification: Personalization is foundational to executive coaching; the coach needs a consistent, respectful way to address the client across contracts, session agendas, and milestone certificates. Because titles and signatures may vary later in the journey, the preferred name serves as the single source of truth for all communications. Leaving this optional would force the coach to guess or repeatedly ask, undermining professionalism.
Question: Current job title
Justification: Title is the fastest proxy for organizational scope, stakeholder complexity, and likely strategic pressures—variables that directly influence coaching objectives, tool selection, and pricing. A missing title would prevent the coach from tailoring pre-work, selecting appropriate assessment instruments, or assigning a co-coach with sector expertise, thereby diluting the ROI of the entire engagement.
Question: In one paragraph, describe what ‘success’ looks like for you in the next 12 months
Justification: This open-text answer becomes the contracted North-Star outcome; every subsequent session is retro-planet against this vision. If left optional, clients could enter coaching without clarity, leading to scope creep, ambiguous success metrics, and dissatisfaction. Mandatory articulation forces a concise vision that can later be mapped to SMART goals and tracked for ROI demonstrations.
The form adopts a “minimum viable mandatory” philosophy: only four fields are required, all clustered in the first half of the experience. This design respects the seniority and time scarcity of executive users while still capturing the non-negotiable data needed for legal, contractual, and directional clarity. Research in form-completion psychology shows that each additional mandatory field reduces submission rates by 3–7%; keeping the count at four keeps the abandonment risk under 15% even for mobile users.
Going forward, consider making two more fields conditionally mandatory: (1) if the client selects “Other” under language, the free-text specification should become required to prevent null values, and (2) if burnout symptoms are acknowledged, a brief description could be mandated so the coach can flag urgent mental-health referrals. Otherwise, retain the current optional-heavy approach; executives are more willing to disclose sensitive data (360 history, stakeholder maps) once they trust the process, and that trust is best built by allowing them to control depth. Continue to visually distinguish optional vs. mandatory items with micro-copy such as “required for initial proposal” to manage expectations without sounding legalistic.
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