Welcome to your transformative journey towards effective culture change within your organization. To maximize the impact of our 60-minute session, please provide detailed responses to the following questions. This information will enable us to tailor the coaching to your needs and organizational context.

Personal Information

Full Name

Job Title

Email *

Organization

Phone *

Pre-session Information

1. Briefly describe your current role and responsibilities within your organization.

6. Have you undertaken any initiatives or steps towards changing the culture in your organization? If yes, please describe.

2. What motivated you to seek out this culture change coaching session?

7. What does an ideal workplace culture look like to you? Please be as descriptive as possible.

3. Identify any specific challenges you are facing related to organizational culture.

8. How do you envision your role in fostering this culture change?

4. On a scale of 1-10, how would you rate your organization's culture? ( 10 being excellent, 1 being very poor)

9. Do you particularly want to focus on specific areas (e.g., leadership development, team spirit, communication) during our session?

5. What are your organization's top three goals for culture change?

10. What do you hope to achieve by the end of our coaching session?

Additional Info

11. Do you want me to know anything specific before our session?

12. How did you hear about this coaching offer?

Thank you for taking the time to complete this intake form. Your responses are invaluable in preparing for our session. Please submit this form at least 48 hours before our meeting to ensure a comprehensive review of your needs.

Looking forward to our session and supporting you in your journey toward impactful culture change.

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