Rebecca Petersen Weinbergstrasse 96 8006 Zürich [email protected] 079 579 64 38 Fragebogen - Coaching Personalien Name, Vorname: _______________________________________________________ Alter: ______________ Adresse/Tel.: ______________________________________________________________________________ Interessen/ Hobbies: ________________________________________________________________________ Beruf: ___________________________________________________________________________________ Fragen 1. Warum brauchst du aus deiner Sicht ein Coaching? Begründe! Beschreibe deine momentane Situation möglichst genau. Mache wenn möglich ein Bespiel, einen Vergleich, beschreibe ein Bild oder eine Situation. ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 2. Welche Ziele/Ideen/Lösungen hast du bereits für dich formuliert? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 3. Woran würdest du erkennen, dass das Coaching/ die Beratung dir geholfen hat? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Seite 1 von 2 Rebecca Petersen Weinbergstrasse 96 8006 Zürich [email protected] 079 579 64 38 4. Was sind aus deiner Sicht deine Stärken? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 5. Wo müsstest du dich deiner Meinung nach noch verbessern/ verändern? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 6. Was trägst du zu einer erfolgreichen Umsetzung bei? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 7. Was ist sonst noch wichtig? Was sollte ich zusätzlich noch wissen? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Ort, Datum: ____________________________ Unterschrift: ___________________________ Seite 2 von 2
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