OPPC Client Intake Questionnaire Welcome to On Purpose Planning & Consulting - Please fill out our survey below... Question Title * 1. Today's Date Date / Time Date OK Question Title * 2. Contact Info Name * Company if Applicable Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country Email Address * Phone Number * OK Question Title * 3. Enneagram & Coaching Client ONLYCopy Link, complete the assessment, then come back and enter your top 3 number results by percentage % below, as well as email me your results (onpurposeplanningandconsulting@gmail.com): https://assessment.yourenneagramcoach.com/ OK Question Title * 4. Tell me in a sentence or two about what you're looking to receive from this coaching experience. Do you need assistance working through a current problem? Help determining immediate next steps in your life? Guidance through everyday maintenance of life? OK Question Title * 5. What are the Top 3 Significant goals you would like to achieve? Describe your specific goal 1... Desired outcome/result... Describe your specific goal 2... Desired outcome/result 2... Describe your specific goal 3... Desired outcome/result of goal 3... OK Question Title * 6. What are your targeted needs? Self Improvement & Awareness through Enneagram Coaching Effective Communication & Engagement Skill Coaching Relationship Management through creation of Boundaries, Expectations, and Accountability Coaching Personal Leadership & Development - Lunch & Learns, Masterminds, and Coaching/Mentoring Root Discovery (Getting to the root of your issues) - Critical Coaching Continuous Improvement Consulting Strategic Life Planning/Goal Planning Group Coaching & Training Other (please specify) OK Question Title * 7. What is your desired method of connection? Coaching Membership 1X Coaching Session Group Coaching Mastermind Group Lunch & Learn Full Day Workshop Half Day Workshop Course Curriculum Development Speaking Engagement/Ted Talk Retreat/Conference (Multiple Day) Other (please specify) OK Question Title * 8. Do you have specific watchouts in regards to the questions below? Risks that could prevent success? Opportunities that could impede progress? Threats that could derail the process of coaching, training, goal attainment? OK Question Title * 9. Please share some personal expectations around the framing of this working relationship... When would you like to begin coaching? When would you like to achieve the set out goals above? What's your current coaching budget, either monthly or in its' entirety? Where do you prefer to have meet ups?Choose a place within Cranberry, Wexford, Beaver, McCandless, or PittsburghFace-time and Skype also availableFee Schedule available for extended, out of state Travel Is there any other info you think I need to know before we move forward (Please Specify) OK DONE