Leadership Buffalo

First Name:

Last Name:

E-Mail:

Place of Employment:

Title:

What is your reason for seeking a coach? Select all that apply.

Personal Growth	Professional Advancement	Manage my boss/managing up
Seeking new career opportunities	Become a better leader of my team	Improve my leadership style/less managing, more leading
On-boarding/Starting a new job	Job Transition in same company	Relationship Building
Executive Presence and Branding	Enhance Communication Skills	Political Savvy in Workplace
Other

If other, please explain:

What is the preferred background you want in a coach? Select all that apply.

If other, please explain:

What best represents your level in your organization? Select all that apply.

If other, please explain:

Coaching Engagement Preference:

	Virtual Only
	Combination of virtual and in person
	In person only
	No Preference

Coach Preference:

Coaching Questionnaire