Client Information First Name Last Name Email Phone
Which best describes you as a person?
Organization Information Company Name Your Position/Title Location What is your primary business activity?
What my/our organization needs most is...
Why are you choosing now to spark change in your organization? What has held you back in the past?
What is the most most money you have invested in coaching, training and development for your business/organization in a year?
Communication and Team Development
The following questions will identify your company's strengths and weaknesses in regards to communication and team development.
Please answer using of the following four options for each of the six questions below:
My workplace inspires my team to do their best work.
My company values open communication and transparency.
My team members work effectively together.
My workplace is an environment that recognizes strengths and accomplishments.
When faced with conflict within my team, members speak to one another respectfully.
When faced with conflict within my team, we will often come to a united decision/plan to combat it.
Please answer the following three questions in your own words using the space provided. (If this section is not relevant to your business needs, simply put "N/A" in the text area.) 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? Leadership Coaching The following questions will identify your strengths and weaknesses while conducting business. Please answer the following six questions in your own words using the space provided. (If this section is not relevant to your needs, simply put "N/A" in the text area.) What is working really well for you in your business/organization? What is not working well for you in your business/organization? How long have you been facing your current challenges? If you could wave a magic wand and change anything about your business/organization what would it be? What specific results are you hoping to achieve through Janice Otremba Coaching and Consulting? How would eliminating these challenges impact you and your business/organization moving forward?
What is the most money you have invested in individual coaching in a year?