STAKEHOLDER ALIGNMENT First Name* Last Name* Job Title* Company* Email Address* Number of Direct Reports* 1. Have you ever worked with an executive coach or personal coach?*Option: Yes or NoYesNo2. What have you always wanted to do but been afraid to try and why?* 3. If you were to start a company from scratch, what values would you build it on? List a minimum of 4, maximum of 6*4. Name the four people you work with the closest (Not all direct reports):*5. Starting with the first person, if I were to ask them what your vision is for your team and for you personally. Rate them on a scale between 1 and 5. A five (5) indicates that the person has a clear understanding of both you and your teams goals, and is actively helping you to achieve your vision. A one (1) indicates a person who lacks clarity or concern for any of your goals.*12345Second Person:*12345Third Person:*12345Fourth Person:*123456. You listed your top values above that would serve as the foundation for starting your own business. Starting with the first person, if I were to ask them the same question, rate each person based on how closely they would match your values. Using a scale between 1 and 5: five (5) being a perfect match between your values and theirs, and a rating of one (1) would be zero alignment on any values that were listed.*12345Second Person:*12345Third Person:*12345Fourth Person:*123457. Rate each person on their ability to leverage your strengths. A five (5) rating would indicate they know your value and strength to the business and help you to use your strengths to the fullest. A one (1) rating would indicate a person who doesn’t know or rarely leverages your strengths.*12345Second Person:*12345Third Person:*12345Fourth Person:*123458. Rate each person on their predictability. A five (5) rating would indicate that when given ten things to do, they deliver 10 out of 10 times while anticipating the needs of the leader or team. A one (1) rating indicates a person who would need to be consistently reminded of deadlines.*12345Second Person:*12345Third Person:*12345Fourth Person:*123459. Rate each person on a scale of 1-5 in terms of social interaction or engagement outside of work. A five (5) rating indicates that you actively seek time to spend with one another. A one (1) rating indicates you rarely see each other outside of work-related functions or daily business interactions.*12345Second Person:*12345Third Person:*12345Fourth Person:*1234510. What's keeping you from reaching balance across the various professional and personal roles you play?*11. In your own words, what are the mission and vision of your company?*12. In order of importance how do you prefer being rewarded, please write top to bottom (Renumeration, Respect, Recognition, Responsibility):* 13. How does the organization promote work-life balance for its employees?*14. Which opportunities for learning new skills have you recently pursued (outside of the office)?*15. What is the one thing about your products or services that you would improve?*16. Is there any clarification you need about any of the questions that were just asked?*