Coaching / Advising FormPlease fill out with as much detail as you like.Form will be confidential and only shared directly with Jim Schutz. Name * First Name Last Name Email * What is your current title? * Who is your current employer? * What is your main goal around coaching or advising at this time? * What challenges are you facing? What is your favorite thing about 1) your profession, 2) your organization, and 3) your current job? When do you add the most value to your organization? Also, what is your leadership style? When are you at your best? What do these groups feel you do well at: 1) your work colleagues, 2) your governing board? What is the culture like now in your organization? When do you feel most in balance in your life - what conditions are required for balance? Specifically, what are your top three improvement goals? How will you know you succeeded at each of these three top improvement goals? Would you like to take a brief work personality assessment (DISC) to help you understand yourself and others? Yes No I've done that already and can share the results Tell me more What else would you like to share that was not covered in the above questions? For example, what are your long term career aspirations? Thank you! Your responses have been sent directly to Jim Schutz and he will review them confidentially and get back to you. Thanks very much for your candid responses!
