What is the single-most reason you decided to enter into a coaching relationship?
What support do you need from your direct manager and manager once removed to make the coaching a success? How will you ensure their support and resources?
What title and function do you represent?
What level of management best describes your responsibilities?
__ Line management __ Mid-level management __ Senior or executive level management
What are your combined years of management and leadership experience?
[] <5 years [] 5-10 years [] 11-15 years [] 16-20 years [] 21-25 years [] >25 years
How many individuals do you lead in your organization?
[] 0-5 [] 6-19 [] 20-49 [] 50-99 [] 100-250 [] >250
What is the approximate dollar value of your program/system responsibilities?
[] <$1M. [] $1M-$5M. [] $6M-$10M. [] $11M-$20M. [] $21M-$50M. [] >$50M.
What are the approximate education levels of the individuals you lead?
[] Majority High School [] Majority College [] Majority Masters [] >Masters
Do your responsibilities involve international stakeholders? [] Yes [] No
How would you describe the environment in which you operate daily?
__Stable __Slowly changing __Moderately changing __Rapidly changing
Considering the time horizon of your tasks, how long does it take to complete the longest-duration task?
[] < 1 Week [] 1-4 Weeks, < 1 Month [] 4-12 Weeks, < 3 Months
[] 3-6 Months [] 6-12 Months [] 12-24 Months [] > 2 Years
Considering the time horizon of your tasks, what is the time range to completion for most of the tasks?
[] < 1 Week [] 1-4 Weeks, < 1 Month [] 4-12 Weeks, < 3 Months
[] 3-6 Months [] 6-12 Months [] 12-24 Months [] > 2 Years
Regarding the structural hierarchy, what layer do you reside in; how many layers exist, including yours, subordinates to line employees?
[] I [] II [] III [] IV [] V [] VI [] VII [] VIII
Regarding the structural hierarchy, how many total layers exist from CEO to line employees?
[] I [] II [] III [] IV [] V [] VI [] VII [] VIII