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Executive 1:1 Coaching Application Form

Thrive with EQ Leadership Assessment Form

Take this short assessment to see if our Emotional Intelligence Leadership Coaching Program is the right fit for you. This form helps us understand your leadership challenges, goals, and readiness for transformation.

All applications are reviewed carefully, and accepted candidates will be invited for a complimentary Leadership Breakthrough Call.

Let's begin!

Start

Step 1: Personal Information

Please fill in this section and include your LinkedIn url or any other social media handle if you have one.

Question 2 of 14

Full Name

Question 3 of 14

Email Address:

Question 4 of 14

LinkedIn Url:

Step 2: Leadership Challenges & Goals

Please Share Your Leadership Challenges & Goals to Personalize Your Growth Journey

Question 6 of 14

What are your biggest leadership challenges right now? (Select up to 3)

(Select all that apply)
A

Struggles with team communication & collaboration

B

Low employee engagement & motivation

C

High stress & burnout

D

Lack of confidence in decision-making

E

Resistance to change & digital transformation

F

Other

G

Difficulty managing conflict & workplace relationships

Question 7 of 14

What’s holding you back from making progress? (Select one)

A

Lack of guidance & personalized support

B

Overwhelming workload & time constraints

C

Uncertainty about the right strategies to use

D

Fear of change & stepping outside comfort zone

E

New Choice

F

Other

Step 3: Your Readiness for Transformation

Please Share Your Readiness for Transformation & Commitment to Growth

Question 9 of 14

Have you invested in leadership or personal development before?

(Select all that apply)
A

Yes, through coaching programs

B

Yes, through self-study (books, courses, podcasts)

C

No, this would be my first leadership development investment

Question 10 of 14

What outcomes would make this coaching experience a success for you?

Step 4: Final Application Review

Please Review & Confirm Your Application for Transformation

Question 12 of 14

This coaching program is designed for driven, high-achieving leaders ready to make a real impact through emotional intelligence.

(Select all that apply)
A

I am open to feedback and willing to take action to see real change.

B

I understand that this is a high-value coaching experience and I am ready to invest in my growth.

C

I am committed to showing up for myself and my team as a more resilient, emotionally intelligent leader.

Question 13 of 14

Please share anything else that you think we should be aware of. 

Question 14 of 14

I confirm that I am ready to take the next step and would like to apply for a Leadership Breakthrough Call.

(Select all that apply)
A

Yes

B

No

Confirm and Submit