Lifeworks Systems Individual Coaching Individual Coaching Questionairre NOTE: The information you provide in this survey is confidential to a coaching relationship and will only be seen by Judy Ryan or another LifeWork Systems coach should a separate one be assigned to you. Step 1 of 2 - Your Information & Coaching Options 0% Your InformationName First Last Email PhoneCompany, if applicableCoaching OptionsWhich areas are you seeking support and improvement? Select all that apply. Professional Coaching Designing your career or organizational plan, healthy relationships, high productivity, agility, engagement, diversity and inclusion, overcoming challenges, mergers and acquisitions, employee turnover, low morale and under-performance Personal Coaching Emotional intelligence, relationships, life plan, engagement, motivation, conflicts, identify and achieve personal ambitions related to joy and purpose. Ability to find and sustain meaning and authentic teamwork, and express purpose, values and trust Family Coaching Parenting, getting along, being responsible, living from purpose and values together and alone. Contributing to society. Responsibility, family meetings, family fun, shared power, teamwork, redirecting negative behavior, sibling rivalry Your Professional LifeSelect all areas in which you want support Relationships Leadership Development Agility: Business and Technology Diversity and Inclusion Emotional and Social Intelligence Thriving in Mergers and Acquisition Employee Turnover Low Morale Redirecting Negative Behavior (including Gossip) Career Planning Navigating Change (Management and Clarity) Performance (including Management) Trust and Teamwork (Authentic and Cross-Functional) Temperament Assessment Culture Assessment Productivity and Engagement Motivation and Accountability Effective Communication Purpose and Values Development and Integration Culture Change/Transformation/Improvement Plan (Teal OD Model) Other Other (please specify)Your Personal LifeSelect all areas in which you want support related to your personal development. Relationships (Marriage) Navigating Divorce Relationships (Dating/Romance) Relationships (Friends) Relationships (Family of Origin, Extended Family, Nuclear Family) Relationships (Other: Church, Community, etc.) Defining Purpose, Values, Vision and Plan Building Trust and Teamwork Personality Assessment Setting Healthy Boundaries Recognizing and Responding to Narcissism Recognizing and Responding to Intermittent Reinforcement Effective Communication Emotional Intelligence Redirecting Negative Behavior Other Other (please specify)Your Family LifeSelect all areas in which you want support related to your family development. Parenting Family Dynamics Negative Behavior Problems at School Nurturing Responsibility Effective Family Meetings Interpersonal Skills (Emotional Intelligence) Sibling Rivalry Work/Family Balance Family Values Increasing Fun Emotional Intelligence Effective Communication Leadership Development of ALL Leader/Follower Flexibility Parental Alienation Syndrome (Parent Rejection by Kids) Intermittent Reinforcement Defining Family Purpose, Values and Vision Other Other (please specify)Have you received coaching previously?YesNoWhat was helpful and what was missing, neutral or counter-productive (if anything)?What challenges and/or desired outcomes are of greatest importance to you, and for which you seek to progress in, through a coaching relationship? Coaching PackagesSelect a Coaching option:Introductory Coaching Special - $85.00Successive Individual Sessions - $125.00Package of 4 Sessions ($100 per hour) - $400.00Package of 10 Sessions ($75 per hour) - $750.00Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.