Coaching Self-Assessment Are you considering participating in Financial Coaching?  Wondering if you are ready? Complete the self-assessment below. If you choose to have us contact you, we will reach out as soon as possible. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *How do you prefer to be contacted? *EmailPhoneWould you like someone from Moneytalk to contact you? *Yes pleaseNo, I will follow-up if interestedHow ready are you to set challenging goals for yourself and your family? *1 = I don't like goals, they don't work for me.2 = Goals can be helpful, but have a hard time sticking to them. 3 = I am ready. Bring it on.How ready and able are you to make changes to reach your new goals? *1 = Doubt it, I have already tried everything2 = Not sure it will make a difference, but I am willing to try3 = Let's do thisDo you believe a coach can expedite your progress? *1 = No2 = Maybe3 = YesIs coaching something you want to participate in? *1 = No, I was told to do this2 = Not really, but willing to give it a try3 = YesAre you willing to try doing things a new way? *1 = No, I have already tried everything2 = Kind of, I am uncomfortable making changes and trying new things3 = Yes, I can't keep going this wayI can commit to meeting with my coach at least once a month *1 = I don't know, my schedule is not consistent and the kids have lots going on2 = My schedule is very busy, but I will try3 = Yes, I will find a way to make it workAre you active in a Christian Church? *1= I attend a non-christian church1 = I do not attend church2 = I usually or frequently attend a Christian church, but am not active3 = I regularly attend a Christian church and participate in at least one activity/group outside of worship serviceI am willing to share personal and financial information *1 = I am uncomfortable sharing personal information2 = I am willing to share the information I need you need to know3 = The more information you have, the more my coach can helpI am willing to attend workshops in addition to coaching sessions1 = No, I don't want to be seen or don't have enough time for that2 = I will try to take advantage of the workshops3 = Yes, I will do whatever it takes to get out of this situationI agree to complete the action items assigned during coaching sessions *1 = I will only complete the actions items I have time for and feel will be2 = I will try to complete action items as I have time available3 = I will do my best to complete the action items each monthI am willing to stop or change self-defeating behaviors *1 = No, it is too hard to quit, these habits are my way of managing the stress2 = No promises, but I will try3 = Yes, I will work hard to stop or change my behaviors that are hindering my progressI will communicate with my coach between sessions as needed *1 = All questions and responses need to happen during our coaching sessions2 = I would rather hold my questions until our next session, but I will respond to my coach's emails3 = Yes, I will ask questions as soon as I have them and respond to emails from my coach as quickly as possibleI will pay the agreed upon monthly amount *1 = Money is too tight and other expenses have a higher priority, so I cannot promise anything2 = With my coach's help, I will try my best to make the monthly payments3 = I will make paying for coaching a priority over non-essential expensesIf making a pledge, do you want it reported? *1 = No2 = N/A3 = YesHow did you learn about our Coaching services? *NameSubmit Self-Assessment Coaching Sign-Up Coaching Info Coaching Agreement