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Specialized Coaching and Workshops
Client Assessment Form
Thank you for your interest in our workshops & coaching sessions. This form helps us get an understanding of you, your voice goals and needs, so we can better tailor our services for your experience. All responses are confidential. *Please fill in Sections 1-4 for individuals or sections 5-8 for group workshops.
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SECTION 1: BASIC INFORMATION – Name
*
Email
*
Contact Number(s)
*
Please include Country and Area Code if outside of Metro Manila Philippines
Age
Gender
Education (Level, School, Degree, Other)
Occupation
Interested in:
*
One-to-one Coaching Session(s)
Small Group Coaching Session(s)
Joining a BrightSpeak Workshop
Group Workshop with my own group (continue to section 5)
SECTION 2: VOICE USE AND SPEAKING EXPERIENCE
Please briefly describe how your voice is used for work.
On a scale of 1-10, how much do you use your voice in your work?
Selected Value:
0
1 being the lowest and 10 being the highest
Have you spoken in front of a crowd before? If so, please share the estimated size of the crowd.
Have you received any public speaking or vocal training before?
Yes
No
If yes, what type of training?
SECTION 3: GOALS AND CHALLENGES
Overcome fear of public speaking
Improve vocal strength
Improve speaking clarity and delivery
Improve the sound and quality of my voice
Prepare for a specific speaking event or role
Other (select this if 2 or more apply and specify by adding to the “Other / Overall goal(s)” box)
Other / Overall goal(s)
What would you say are your voice/speaking challenges?
On a scale of 1-10, how satisfied are you with your voice?
Selected Value:
0
1=Very Dissatisfied, 10=Very Satisfied, 0=Not Sure
a how with
SECTION 4: ADDITIONAL INFORMATION (OPTIONAL)
Anything else you’d like to share that may help us tailor your experience with us?
SECTION 5: FOR COMPANY/GROUP WORKSHOPS
Name of Company or Group
Nature of Business/Group
Contact Person (write "same" if same as Section 1)
First
Last
Position
Email
Contact Number(s)
Please include Country and Area Code if outside of Metro Manila Philippines
SECTION 6: COMPANY/GROUP DETAILS, VOICE USE AND EXPERIENCE
Briefly describe your company/group and how the voice is used.
Estimated Number of Participants
What is/are the department(s) or function(s) of the participants?
Has the team undergone any public speaking or vocal training before?
Yes
No
If yes, what type of training?
SECTION 7: GOALS AND CHALLENGES
What are the main goals for undergoing a vocal workshop?
What would you say are your team's voice/speaking challenges?
On a scale of 1-10, how do you currently feel about your team's communication abilities?
Selected Value:
0
1=Very Dissatisfied, 10=Very Satisfied, 0=Not Sure
SECTION 8: ADDITIONAL INFORMATION (OPTIONAL)
Anything else you’d like to share that may help us tailor the experience for your company/group?
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