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Needs Assessment

This Needs Assessment is designed to help me better understand you and your business needs so I can prepare relevant tools and strategies to help you gain the most value from our exploratory call together.

There are two sections in this form: 'Communication & Team Development' which focuses on the needs within your organization, and 'Leadership Coaching' which focuses on the needs for private 1:1 coaching services.

Please fill out the sections applicable to you and/or your company's needs.
(All personal information is strictly confidential.)

Client Information

First Name

Last Name

Phone

Which best describes you as a person?

I'm a doer who thrives on getting things done and done well.

I'm a planner who takes action, and often puts things off until the last minute.

I'm a visionary who has tons of great ideas and can't carve out the time to implement most of them.

Organization Information

Company Name

Your Position/Title

Location

Size of Company

Solopreneur

Small Team

Corporation

What is your primary business activity?

What my/our organization needs most is...

Individual Coaching

Team Development and Training

Both

Not sure yet

Why are you choosing now to spark change in your life, business, or organization? What has held you back in the past?

What is the most most money you have invested in coaching, training and development for yourself, your business, or your team in a year?

$0 - $5,000

$5,000 - $10,000

$10,000 - $15,000

$15,000 - $20,000

$20,000 - $50,000

$50,000+

Team Development & Training

The following questions will identify your company's strengths and weaknesses regarding communication and team development.

If you are seeking ONLY individual coaching, please skip to the next section.

My workplace inspires my team to do their best work.

True

Not Sure

False

Sometimes

My company values open communication and transparency.

True

Not Sure

False

Sometimes

My team members work effectively together.

True

Not Sure

False

Sometimes

My workplace is an environment that recognizes strengths and accomplishments.

True

Not Sure

False

Sometimes

When faced with conflict within my team, members speak to one another respectfully.

True

Not Sure

False

Sometimes

When faced with conflict within my team, we will often come to a united decision/plan to combat it.

True

Not Sure

False

Sometimes

Please describe the current challenges your organization is facing.

How long have these challenges been affecting your company?

What are the specific results you are you hoping to achieve through Janice Otremba Coaching and Consulting?

Individual Coaching

The personal IS professional! The following questions will identify your current wins and challenges in life and/or business.

What is working really well for you in your professional life and/or business?

What is not working well for you in your professional life and/or business?

How long have you been facing your current challenges?

If you could wave a magic wand and change anything about your situation right now, what would it be?

What specific results are you hoping to achieve through coaching with Janice?

How would eliminating these challenges impact your life and/or your business moving forward?

What is the most money you have invested in individual coaching for yourself in a year?

$0 - $5,000

$5,000 - $10,000

$10,000 - $15,000

$15,000 - $20,000

$20,000+

Is there anything you would like to add?

Learn strategies for organizational change to drive business growth, development, and success from a top leadership coach, and people and performance catalyst.

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THE PROBLEM
SERVICES
SPEAKING
ABOUT
KUDOS
FREE RESOURCES
CONTACT

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I acknowledge that myself and my team live and work within the Tk'emlups te Secwépemc territory, situated within the unceded ancestral lands of the Secwépemc Nation.