Pre-Coaching Survey - FOCOS EU
Thank you for taking time to fill out this survey!  By taking part, you are helping us to meet your needs and the needs of future participants in our coaching programs. A summarized report of all pre- and post-coaching evaluation surveys will be used to evaluate our program, re-design services, and to provide necessary reporting statistics to grant organizations and to when appropriate with your organization. PLEASE ALSO BE AWARE: because we offer our training in partnership with Coaching Mission International (CMI), we may share your application data with them in order to connect you with a coach as part of your training. Your personally identifiable information is not shared beyond the scope of the training purposes. You can read our terms of privacy policy here: www.wolfgangjani.com/about-me/terms-2/. In addition, after you have been accepted to the program, we will clarify and share our transparent process of how we use the data and info you have submitted to ensure privacy and consent.
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DEMOGRAPHIC INFORMATION
Full Name *
Last Name *
First Name *
Email *
Gender *
Required
Age *
Country you reside in now *
Marital status *
Number of children living with you *
Do you live in an isolated or remote area?   *
Do you live near other team members?   *
How many years of mission work have you completed? *
About how many people report to you? *
In your current roles, what level of responsibility do you have in your mission organization :     local, regional, national, or international?
ROLES AND EFFECTIVENESS
Please identify your current leadership roles and rate your current overall effectiveness in each role
Role 1 - Title or Function *
Role 1 - Effectiveness *
not effective
extremely effective
Role 2 - Title or Function
Role 2 - Effectiveness
not effective
extremely effective
Clear selection
Role 3 - Title or Function
Role 3 - Effectiveness
not effective
extremely effective
Clear selection
SATISFACTION
Please rate your overall level of satisfaction with each area of your life.
My ministry roles: *
unsatisfied
extremely satisfied
My personal life and relationships: *
unsatisfied
extremely satisfied
My spiritual life: *
unsatisfied
extremely satisfied
My development as a leader: *
unsatisfied
extremely satisfied
My family life: *
unsatisfied
extremely satisfied
My finances: *
unsatisfied
extremely satisfied
My pace of life/ministry: *
unsatisfied
extremely satisfied
SUPPORT and CONFIDENCE
Rate your agreement with the following statements.
I am currently receiving adequate care and support as a leader. *
strongly disagree
strongly agree
I am currently receiving adequate care and support as a person. *
strongly disagree
strongly agree
I feel confident that I can set goals and achieve them. *
strongly disagree
strongly agree
I feel confident that I know how to bring about change in my own life when I want to. *
strongly disagree
strongly agree
CLARITY and CALLING
Rate your agreement with the following statements.
I have clarity about my personal calling and mission. *
strongly disagree
strongly agree
I have clarity about the leadership roles that match my calling. *
strongly disagree
strongly agree
I am actively moving forward toward roles/responsibilities that match my calling and mission. *
strongly disagree
strongly agree
STRESS, BURNOUT, and MOTIVATION
Rate your overall level of stress/burnout. *
burnout
healthy stress level
Rate how motivated you feel about your ministry/roles. *
not motivated
extremely motivated
Rate how confident you are that you can handle the stress and challenges that come with your ministry/roles. *
not confident
very confident
PERSONAL GOALS
Identify the 2 most important goals you intend to work on during your coaching and rate your current level of satisfaction with each goal area.
Goal 1: *
(If you don't know, type "unsure"
Current satisfaction with Goal Area 1: *
(If your goal is "unsure"  choose "1" on the scale)
unsatisfied
extremely satisfied
Goal 2:
Current satisfaction with Goal Area 2:
unsatisfied
extremely satisfied
Clear selection
Other comments you'd like to make
Thank you for completing this survey!
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