Conflict Resolution Coaching Assessment Form
Please complete this form to help us understand your conflict resolution coaching needs and goals. All questions are designed to assess your situation and preferences for coaching.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Briefly describe the conflict situation you are seeking coaching for.
*
How often do you experience conflicts in your current environment?
*
Rarely
1
2
3
4
Very Frequently
5
1 is Rarely, 5 is Very Frequently
How much does this conflict impact your daily life or work?
*
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Which statement best describes your communication style during conflict?
*
Direct and assertive
Calm and accommodating
Avoidant or withdrawn
Emotional or reactive
Other
Please rate your confidence in resolving conflicts effectively.
*
1
2
3
4
5
What are your primary coaching goals?
*
Improve communication skills
Manage emotions during conflict
Develop problem-solving strategies
Strengthen relationships
Other
Preferred session format
In-person
Virtual (video call)
Phone
No preference
Is there anything else you’d like your coach to know before starting?
Submit Assessment
Should be Empty: