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Pre-Course Questionnaire

Thank you for engagement in this important work.

By taking a moment to answer a few questions, you help create baseline to see how effective this class is for you and others in practice.

Your participation helps the course meets it's objectives and helps others have a high quality experience.

Your email and name are entirely optional and if not provided, is not otherwise known.

If you provide your email, you will receive a copy of your responses for later reference.

All personally identifiable details are confidential

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NameOptional

EmailPlease provide if you need 3 ICF CCE RD credits for the course OR would like to recive a copy of your responses for later reference

Do you have a specialty? Work with a particular kind of client?

What certificantions do you hold (if any)

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Questions

These questions help us asses the impact of this class in the context of coaching.

Have you had mindfulness trainingForm or informal - no judgment here - just gathering data

--- Select ---1 - No training2 - Not much training3 - Some training4 - Significant training5- Highly trained

How would your you rate your mindfulness on a day-to-day basis?

--- Select ---1 - not at all mindful2 - not very mindful3 - somewhat mindful4 - quite mindful5 - highly mindful

Right now, how would you rate your presence as a coach?.

--- Select ---1 - not at all present2 - not very present3 - somewhat present4 - quite present5 - highly present

Which of the following best describes your current situation

--- Select ---My clients and I work for the same organizationI have an active or growing private practiceI do not yet have a practiceI work for an agencyNone of the above (use comments)

What do you hope to gain from this course?

CommentsQuestions, comments, suggestions, feedback - all are welcome

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