1. I feel as though I want to go further and have maxed out my current resources.
2. I am willing to explore my potential and begin thinking beyond normal to extraordinary.
3. I am willing to restructure my life, if necessary, to achieve my goals and dreams.
4. I want to be a visionary, and maintain a high level of accomplishment.
5. I am willing to do something different to operate at the leading edge.
6. I am willing to accept another person’s insight, encouragement, and feedback so that I can advance beyond what I ever dreamed.
7. I feel the need for something new and challenging.
8. I feel stagnated.
9. I have a lot of good ideas, but am not able to do anything with them.
10. I want clarity and focus in my daily life.

Scoring Grid
Less than 2 true right now... Congrats and keep it up
3-4 true right now... Would benefit working with a coach
5-6 true right now... Consider coaching very soon
7-8 true right now... When can you get started?
9-10 true right now... Call 911, and hope they send a coach!
Adapted from coaching curriculum developed by Jane Creswell and Linda Miller