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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.
4: vocal SECTION
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
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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