Name
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First Name
Last Name
1) What is most important to you right now?
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Write your answers in the blank boxes.
2) What does leadership mean to you?
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3) What is the purpose of leadership?
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4) What is the purpose of your leadership?
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5) What are your current challenges in life and work?
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6) What self management practices do you have?
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7) How do you make decisions?
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8) What is important to you in teams.
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9) What does success look like to you?
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10) What are you most fearful of?
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11) What percentage of your life is currently your own?
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12) What spiritual beliefs do you have?
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13) What spiritual practices do you have?
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14) What ambitions do you have in your personal and professional life?
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15) What makes you happy?
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16) How do you deal with conflict?
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17) When you think of legacy, what does this mean to you?
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18)What are your strengths as a leader?
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19) What are your shortcomings?
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20) If you could wave a magic wand and have your life and work be any way you’d like, you’d have more……
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21) Complete the sentence: Overall, the way I feel about my life is….
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22) Complete the sentence: (use as many examples as you desire) “I know I am being successful by how ______________”
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23) Complete the sentence: The emotion I struggle with the most is:
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24) What’s holding you back most in life?
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25) What’s missing from your life that you could add to make it complete?
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26) What are you grateful for?
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27) What’s the one breakthrough you’d like that would make all the difference?
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28) In order for me to coach you effectively, what do I need to know about you? About how you make decisions, what motivates you, how you operate? What should I say or not say, do or not do?
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29) Why did you hire me, Zoë Routh, as your coach?
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30) What would show a return on your investment in the program?
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