Center for Leadership

Coaching Inquiry

First and Last Name Email Address Organization / Employer Job Title / Role Phone Number Who are you seeking coaching for? (Select all that apply)

Please select one or more options.

Myself

One or more individual leaders

A team

An organization-wide initiative

Not sure yet

What are one or two goals you hope coaching could support? Are you interested in incorporating assessments or feedback tools into coaching?

Yes

Possibly / I’d like to learn more

No preference

When are you hoping to begin coaching? Within 1–2 months Within 3–6 months Later this year or next year Just exploring Preferred coaching format (if known)

Virtual

In-person

Hybrid

No preference

Is there anything else you’d like us to know?