Coaching Questionnaire | Burns Leadership Consulting

Executive & Senior Leader Coaching

Coaching Questionnaire

Please complete this in advance of our first coaching session. Your answers form the groundwork for our work together.

Step 1 of 7

Before We Begin

In our coaching, the most significant outcomes will come from our coaching partnership.

It's important to note that power is granted to the relationship, not the coach.
You play a critical role in determining how you want to be coached and help in ensuring you're getting full value from the coaching.
This relationship is tailored to fit and best serve you.

To design a powerful relationship, please take the time to answer these questions as accurately and as completely as possible.

Your responses form the groundwork for our work together. We will continue to redesign our coaching relationship as it evolves. If a question doesn't make sense or doesn't seem important to you, leave it for now. We can address it later.

A little about you and your organization, to start.

First name

Last name

Phone (best number to reach you)

Company name

Industry (optional)

Organization size (employees) (optional)

Where are you today as a leader?

Incumbent Leader

Already in this role and developing effectiveness within or beyond it.

Stepping Into a Role With Greater Scope

New to this level of responsibility, or preparing to take it on.

Step 2 of 7

Your Role

What you're responsible for, and how long you've carried it.

Current title

Time in this role

Time with this organization

Number of direct reports

Scope you lead (optional)

Key responsibilities

Step 3 of 7

Stakeholders

Who else has a stake in how this work goes. Not every engagement has an active organizational sponsor. Leave this blank if that's not part of your coaching structure.

Organizational sponsor (if applicable)

Sponsor title (optional)

Sponsor email (optional)

Other key stakeholders (optional)

Step 4 of 7

Coaching Focus

Consider these questions about what may be most helpful to you as we work together.

As you consider your management role and opportunities and challenges you may face, what do you hope to get from coaching?

As we partner together, what do you need from me (your coach) for our work to be meaningful and impactful?

We all get in the way of our own success. How do you tend to create barriers for yourself (e.g., going it alone, arrogance/having to be right, indecisiveness, not saying "no," not saying "yes," procrastination, tolerating, etc.)?

Step 5 of 7

Looking Ahead

Where the role, the team, and the organization are headed.

As you look ahead, what executive leader skills or knowledge will be most important for you given organizational goals and objectives?

What executive leadership challenges/opportunities are you currently facing or anticipate facing?

For the executive team you are part of, what are the biggest opportunities that will help bolster impact across the organization and/or positively impact other stakeholders?

Step 6 of 7

Success & Initial Goals

What this coaching relationship is for, in your own words.

What would make this coaching relationship transformational for you

How you and others will know it's working

These focus areas/goals may change during our coaching relationship, but what would be your goals resulting from this coaching experience? Identify 3 areas that you want held as your main focus. For each, provide a simple goal heading and a description of a measurable result. We'll come back and sharpen these together once coaching is underway.

1Goal 1

Goal heading

Measurable result(s)

2Goal 2

Goal heading

Measurable result(s)

3Goal 3

Goal heading

Measurable result(s)

Step 7 of 7

Anything Else & Submit

Any additional information you want to share? (optional)

Please attach any assessments that may be helpful to our coaching (optional)

Assessments may include personality assessments or similar assessments that may provide insights into leadership practices and preferences, values, and motivations.

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Up to 8MB total. PDF, Word, or image files.

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Status

Complete the required fields, then submit.

Meaningful. Measurable. Results.