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NCLEX Coaching and Mentoring Questionnaire

Please complete all the questions to the best that your ability. Once complete, you can proceed to the coaching and mentoring website. Thank you for allowing me the opportunity to serve you!

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Question 1 of 22

First & Last Name

Question 2 of 22

Email Address

Question 3 of 22

Phone #

Question 4 of 22

Which NCLEX Exam are you attempting/attempted?

A

RN

B

LPN/LVN

Question 5 of 22

Have you taken the NCLEX before? If yes, when did you take it & how many times? 

Question 6 of 22

How many questions did you receive on the NCLEX exam? 

Question 7 of 22

What nursing school did you graduate from and what year did you graduate? 

Question 8 of 22

What NCLEX reviews have you used in the past? 

Question 9 of 22

Did your nursing school provide you a NCLEX review? If so, what was the name of the NCLEX review provided? 

Question 10 of 22

How many hours do you study a day? 

Question 11 of 22

What commitments do you have that may contribute to your lack of studying? (Work, Family, etc) 

Question 12 of 22

What is your learning style? (i.e. What kind of learner are you?)

(Select all that apply)
A

Auditory (listening)

B

Visual (reading and seeing pictures)

C

Kinesthetic/Tactile (physical activity/hands on)

D

Read/Write (reading and writing)

Question 13 of 22

Tell me about yourself (i.e. your nursing journey, challenges while studying, etc)

Question 14 of 22

Tell me about YOUR accountability (i.e. What did YOU do or what you AREN'T doing to prepare for your exam?) 

Question 15 of 22

Tell me about your support system (i.e. do you have supportive people around you during your nursing journey?) 

Question 16 of 22

Do you have issues understanding content? Do you have issues understanding NCLEX style questions? Both? Tell me why. 

Question 17 of 22

What do you want to accomplish with coaching? 

Question 18 of 22

When do you want to start coaching? (Please Be Specific!) 

Question 19 of 22

Do you have you Authorization to Test (ATT)?

A

Yes

B

No

Question 20 of 22

Have you schedule your exam? If yes, what day is your exam?

Question 21 of 22

I only take FIVE students each month. My coaching and mentoring program is designed to help pass NCLEX and go beyond, PERIOD! It is only for those who are coachable, who put in the work and want to conquer the NCLEX on their next attempt. However, most of my students have goals much bigger than this. Before going any further please verify that you align with this.

 

If we are a good fit, are you ready to make an investment to achieve goal? BECOMING A NURSE?!?! 

A

Yes, I understand, align and ready to conquer

B

No, I do not agree, align and aren't ready to conquer

Question 22 of 22

Please check your email spam/junk/promotional folders to schedule your discovery call.

A

Ok! I definitely do that!

B

No, I won't check my email :(

Confirm and Submit