Tab5-Coaching-2-Coaching Questionnaire, Week 5 - Coaching
[ Pobierz całość w formacie PDF ]There is a faster path to success.
There is more abundance.
There is more access.
There is more.
Now.
Just step into the Center Ring.
Center Ring Coaching Questionnaire
BRENDON BURCHARD’S
CENTER RING COACHING
Center Ring
Coaching Profile
Please type in the following information:
Full Name:
Email:
Address (Street, City, State, Zip):
Home Phone:
Office Phone:
Cell Phone:
Website(s):
Birthday:
Marital Status:
Emergency Contact Name:
Emergency Contact Phone:
Month Entering the Center Ring (this month/year):
Brendon Burchard Events Attended:
(Place an X in front of courses completed)
____ Nonprofit & Corporate Partnership Seminar
____ Life’s Golden Ticket Super Seminar
____ Strong Man Academy
____ Experts Academy
____ High Performance Academy
____ Global Partnership Seminar
____ College Success Super Summit
Directions:
Please read and fill out this questionnaire. Then save it and email it to
You should save the file name as follows:
YourLastName-Profile.doc. For example: Burchard-Profile.doc
Your coaching calls cannot begin until you fill out this form so please do so as soon as
possible. If you have any questions, email Brendon or Jenni at
.
Copyright © 2008 The Burchard Group LLC. Proprietary and Confidential. Do Not Duplicate or Distribute.
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Center Ring Coaching Questionnaire
BRENDON BURCHARD’S
CENTER RING COACHING
Introduction from Brendon Burchard
Today is a day you will look back upon for years to come with joy, appreciation and excitement. It’s a day
that you made the decision to fully invest in yourself and your future. It’s a day you opened up, shared
your dreams, identified where you were, and decided to get moving again. It’s the day you stepped into
my Center Ring.
The Center Ring Coaching Program begins with this in-depth Coaching Questionnaire. You’ll notice that
this Questionnaire is different from others you may have seen before—it’s detailed, it’s thoughtful, and it’s
built to help you think through your life both personally and professionally. It’s also built to help your coach,
me, understand your world and assist you in moving forward faster.
I’m asking you to take a good hard look at yourself and set aside plenty of time to honestly and openly
complete this Questionnaire. Trust me, it will help you. You see, a lot of people who hire me as a life and
business coach say, “I don’t truly know
why
I’m where I am in life or my business, and I don’t know really
know how to get going again.”
To these folks I gently reply, “Yes, the fact is, you do know. All the answers lie within you.” Then, in order
to prove this to them, I often give them what I call a sentence-completion activity. In other words, I write
the start of a sentence and I let them finish it. For example, I’ll give them a statement that says, “To move
forward in my life again, the first thing I have to do is…”
It’s amazing how fast my Clients can complete the sentence. They’ll immediately say, “Finally ask for a
promotion,” or “Stop beating myself up over the past,” or “Ask for some help,” or “Stand my ground rather
than get steamrollered.” Most of my Clients are surprised at how immediately they know exactly how to
finish the sentence. They feel a renewed sense of confidence and competence when they know that they
have all the answers within them. Sometimes, they just need a little help finding clarity.
So, to begin our relationship together, I’m going to give you similar sentence-completion activities
throughout this Questionnaire. When you complete these simple yet profound statements, you will help
me understand your world a little better and enable the both of us to move forward more quickly. Please
be honest and open in completing this Questionnaire. If at times the questions seem leading or
assumptive, that’s because they are; please don’t take offence in any way if the statement doesn’t exactly
apply to you and simply answer from your gut (or better yet, from your heart). Also, please understand
that some of these questions may stir strong emotions, so give yourself time to complete them and begin
from a place of strength and sureness that you are on the right path to breaking through.
Your Questionnaire will be kept confidential and never be shared or seen by anyone but me. The entire
goal is to give you a little more clarity about where you are and where you want to go. You’ll also give me
the insight I need to help you leap into a land of greater possibility and abundance.
There is a reason this form is ordered and structured the way it is. I start with your personal life and then
move into your professional life. I ask that you simply trust the process and fill in the blanks. The magic
will all come afterwards. Believe me. Believe in yourself. Now let’s get to work.
-- Brendon
Copyright © 2008 The Burchard Group LLC. Proprietary and Confidential. Do Not Duplicate or Distribute.
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Center Ring Coaching Questionnaire
BRENDON BURCHARD’S
CENTER RING COACHING
Center Ring
Coaching Questionnaire
Please provide open, candid responses to the following sentence starters. Take your time thinking
through these—the more complete and honest the response, the better your coach is prepared and able
to help you succeed. Remember, your responses are confidential and never shared with anyone other
than your coach. This exercise is for your own clarity and to help your coach understand your world and
how you think and act within it. Take your time, take as much space as you need, and enjoy the process!
You’re on your way!
Starter Statements:
COACHING
Your Responses
Please type your answers in the boxes below.
1. The thing that
motivated me the
most
to join Brendon’s
Center Ring Coaching
program at this time in
my life is…
[Your Response]
2. The reason I am
absolutely committed
to succeeding in this
program – and in my
life – right now is…
[Your Response]
3. If I had to focus on
just two things with
Brendon, they’d
include…
[Your Response]
4. If I could have any
project promoted or
[Your Response]
Copyright © 2008 The Burchard Group LLC. Proprietary and Confidential. Do Not Duplicate or Distribute.
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Center Ring Coaching Questionnaire
sponsored right now,
it would be X project
and I’d love X
nonprofit and X
company to be
involved.
Starter Statements:
MY LIFE
Your Responses
Please type your answers in the boxes below.
5. The thing I’m really
proud about in my life
right now is…
[Your Response]
6. The thing I need to
work the most on in
my life right now is…
[Your Response]
7. The main reason I am
where I am in life right
now is because I
chose to…
[Your Response]
8. The main areas of my
life where I seem to
be succeeding are…
[Your Response]
9. The main areas of my
life where I seem to
be spinning my
wheels are…
[Your Response]
10. The times when I feel
overwhelmed are
when things happen
like…
[Your Response]
11. The emotions I felt on
a consistent basis
over the past six
months could be
described as…
[Your Response]
12. If I am being totally
honest, what’s held
me back from being
[Your Response]
Copyright © 2008 The Burchard Group LLC. Proprietary and Confidential. Do Not Duplicate or Distribute.
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