Coaches Roundtable Survey

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1. I am an effective team player

2. I am coach-able

3. I am willing and able to live abroad for 6 months

4. I am committed to speaking the truth even if it hurts

5. I have a healthy spiritual practice

6. My business vision includes partnership

7. I am ready to risk my ideas of who I think I am in the world

8. I am committed to deepening the realization of my value

9.  I am fluent in the following languages:

Describe what you know to be true about your self in 5 words or less:

No. of years coaching:

Training program:

Certification:

Member if ICF? 

yes no

Preferred communication method:         (check one)

in person email phone

Training program/ certification/ member if ICF?

yes no

Anything else you would like us to know about you? 

 Contact information