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Coaching

Executive Coaching Intake Assessment

Replace the manual intake form with a structured assessment that helps coaches understand a new client's goals, preferences, and starting point. The AI report delivers a comprehensive client profile and suggested coaching focus areas.

14 questionsEstimated 12 minutes4 dimensions
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Assessment dimensions

Each respondent is scored across these dimensions. The AI uses these to identify patterns and generate personalised insights.

Goals & Vision
Self-Awareness
Readiness
Communication

Questions preview

All 14 questions included in this template. You can customise, reorder, or remove any question after importing.

1

What are the top two or three goals you want to achieve through coaching? What would success look like for you?

Open TextGoals & Vision
Free-text response field
2

What is the most significant challenge you are currently facing in your role or career?

Open TextGoals & Vision
Free-text response field
3

Which of the following areas do you most want to develop? (Select the most relevant)

Multiple ChoiceGoals & Vision
Executive presence and influence
Strategic thinking and decision-making
Managing teams and developing people
Work-life balance and personal effectiveness
4

How would you describe your natural leadership style?

Multiple ChoiceSelf-Awareness
Directive - I set clear expectations and drive outcomes
Collaborative - I involve others in decisions and build consensus
Visionary - I focus on inspiring and communicating a bigger picture
Coaching-oriented - I develop people and encourage autonomy
5

How well do you understand your own strengths and blind spots as a leader?

ScaleSelf-Awareness
1 - I have limited self-awareness in this areato5 - I have a clear and honest understanding of both
6

How confident are you in your ability to give and receive direct feedback?

ScaleCommunication
1 - I find feedback uncomfortable and tend to avoid itto5 - I actively seek feedback and deliver it constructively
7

How would you rate your communication effectiveness across different contexts (one-on-one, team meetings, presentations)?

ScaleCommunication
1 - Inconsistent - I struggle in certain contextsto5 - Consistently effective across all settings
8

What is your preferred way of working with a coach?

Multiple ChoiceCommunication
Direct and challenging - push me outside my comfort zone
Supportive and reflective - help me think things through
Structured and goal-focused - keep me accountable to milestones
Flexible and adaptive - respond to what I need each session
9

Have you worked with a coach or mentor before?

Multiple ChoiceReadiness
No, this is my first time
Yes, informally (mentor or peer coaching)
Yes, with a professional coach once
Yes, I have worked with professional coaches multiple times
10

If you have worked with a coach before, what was most valuable about the experience?

Open TextReadiness
Free-text response field
11

How much time per week can you realistically commit to coaching-related reflection and practice?

Multiple ChoiceReadiness
Less than 30 minutes
30 minutes to 1 hour
1 to 2 hours
More than 2 hours
12

How open are you to receiving uncomfortable or confronting feedback during this process?

ScaleReadiness
1 - I prefer a gentle approachto5 - I welcome direct, honest feedback even when it is difficult
13

What specific metrics or outcomes would tell you that coaching has been successful?

Open TextGoals & Vision
Free-text response field
14

Is there anything else your coach should know about your context, personality, or preferences before you begin?

Open TextCommunication
Free-text response field

What the AI report covers

Each respondent receives a unique, personalised report. Here is a sample of the topics the AI analyses based on this template.

Structured client profile and coaching readiness summary
Goal clarity analysis and suggested coaching focus areas
Communication and working style preferences
Self-awareness depth and leadership style insights
Recommended 90-day coaching roadmap

Reports are generated by AI (Claude by Anthropic) and tailored to each respondent's specific answers. No two reports are the same.

Use this template

Sign up to create your first assessment. Import this template, customise it to match your methodology, and start collecting responses in minutes.