Supreme Clientele Onboarding Questionnaire

Welcome to the Supreme Clientele Leadership Coaching Program! We are excited to help you reach YOUR next level. To help Anton understand your goals and needs for executive coaching, please complete this survey before your 1-on-1 Strategy Call with Anton. It will help us address your most pressing needs and goals. For questions, email regina@antongunn.com.

First Name

Last Name

What is the phonetic spelling of your name? (How is it pronounced) *

Street Address

City

State

Zip

Phone Number *

Assistant's Name

Assistant's Email (If Applicable)

Website Address (if you have one)

Current Job Title, How long have you held that title? *

In a few sentences, tell me about who you are, what you do for work, and for how long?

Do you currently manage people? *

Yes No Maybe

If you manage people, how many employees do you manage?

Do you manage a P&L?

Yes No

What do you hope a coach will help do for you? * (check all that apply

Clarify your career/work goals? Improve your current work situation? Make a "graceful and productive" exit from work? Reduce obstacles and barriers to moving ahead in your professional pursuits? Start your own business? Define your legacy as a leader? Increase your level of influence and impact? Improve your leadership brand and profile? All of the above Other

How long have you been in the workforce?

Less than 10 years 10 to 15 years 15 to 20 years 20 to 25 years 25 years or more

On a scale of 1 to 10, how would you rate your career happiness level?

Terrible to Terrific

1 2 3 4 5 6 7 8 9 10

In a few words, explain what would be your desired outcome from a coaching partnership.

Where do you see yourself five years from now? What do you think it will take to get there?

Where would you ideally like to be one year from now?

What current challenges do you think might be preventing you from achieving your goals and desired outcomes?

What could Anton most help you with?

What else would you like Anton, as your coach, to know about you?

All information will be kept confidential.

937 Strategy Group | 136-4 Forum Drive, #180, Columbia, SC 29229

Supreme Clientele Onboarding Questionnaire

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