Design Coaching Information Form Design Coaching Form Δ Summary This form is designed to gather background information to better understand your coaching needs and create an effective, tailored approach. Some personal information is collected but will only be used to create anonymous profiles for analysis and planning purposes. No payment is involved—this is purely for information gathering. Estimated Completion Time: 10–15 minutes You can save your progress and resume the form at any time using the "Save & Resume" later button at the bottom of each page. For questions or concerns, please contact us at coaching@koalescedesigns.com. PreviousNext Section 1: Demographic Information This section helps us understand who you are and your general background. It includes basic details like your location, age group, and education level to create anonymous profiles for analysis. Your Name Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific What is your time zone? - Select -(GMT -10-00) Hawaii(GMT -9-00) Alaska(GMT -8-00) Pacific Time (US & Canada)(GMT -7-00) Mountain Time (US & Canada)(GMT -6-00) Central Time (US & Canada), Mexico City(GMT -5-00) Eastern Time (US & Canada), Bogota, Lima What is your age? - Select -Under 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to Answer What gender do you identify as? - Select -AgenderCisgenderDemigenderWomanManNon-BinaryTransgender WomanTransgender ManIntersexPrefer Not to Answer What are your preferred pronouns? - Select -She, her, hersHe, him, hisThey, them, theirsZe, hir, hirsZe, zir, zirsPrefer not to answerNo Pronouns, use my name Are you Hispanic, Latino, or Spanish Origin? Yes No How would you describe your ethnicity? - Select -American Indian or Alaska NativeBlack or African AmericanEast Asian (e.g., Chinese, Korean, Japanese)Latino/a/x or HispanicTwo or More RacesNative Hawaiian or Other Pacific IslanderOther AsianOther (please specify)South Asian (e.g., Indian, Pakistani, Bangladeshi)Southeast Asian (e.g., Vietnamese, Filipino, Thai)WhitePrefer not to say Please specify your racial or ethnic identity: What is the highest level of school you have completed or the highest degree you have received? - Select -High SchoolTrade SchoolAssociate DegreeBachelor's DegreeGraduate or Professional Degree1-year College (No Degree)2-years College (No Degree)3-years College (No Degree)Ph.D. or higherOtherPrefer Not to Answer What is your current marital or relationship status? - Select -SingleSingle with Child(ren)Single with Pet(s)DivorcedSeparatedMarriedMarried with a childMarried with 2 childrenMarried with 3 childrenWidowedLiving with Partner (Unmarried)It's ComplicatedPrefer not to say What is your current employment status? - Select -Employed full-timeEmployed part-timeFreelance/ContractSelf-employedEntrepreneurUnemployed and seeking workUnemployed and not seeking workStay-at-home parentRetiredStudentOther (please specify) Employment: Other (please specify) What is your annual income range? - Select -Less than $25,000$25,000–$50,000$50,001–$75,000$75,001–$100,000$100,001–$150,000More than $150,000Prefer not to say PreviousNext Section 2: Background Information Here, we’ll gather insights about your professional journey, including your current role, experience level, and familiarity with design tools. This helps us understand where you are in your career and what foundational skills you might need. What is your current role? Are you transitioning into a career in design? Yes No If yes, how are you pursuing your transition? - Select -Are you currently enrolled in a bootcamp? (E.g., UX Design Bootcamps)Are you self-taught? (Using resources like YouTube, books, etc.) How many years of professional experience do you have? - Select -Less than 1 year1 year2–3 years4–6 years7–9 years10+ years What industries or fields have you worked in? What design tools have you used in your work? FigmaAdobe XDSketchAxure RPInVisionBalsamiqLookbackUserTestingOptimal WorkshopDovetailHotjarMazeUsabilityHubEthnioMiroFigJamNotionAirtableSlackZeplinStarkColorOracleWAVEAxe Accessibility CheckerLighthouse Would you like to share a brief summary of your professional journey? Design Portfolio URL Would you like to upload your résumé? (Optional) Upload your résumé here Save & Resume PreviousNext Section 3: Reasons for Seeking Coaching This section focuses on your goals and motivations for seeking coaching. You’ll choose a primary and secondary focus area and describe what you aim to achieve through this experience. What are your main reasons for seeking coaching? Career Navigation in a Changing Design Landscape Technical Skills Enhancement & Tool Proficiency Standing out in a competitive/saturated job market Adapting to hybrid roles (e.g., UX+UI, design+development) Navigating AI’s impact (automation, ethical concerns, reskilling) Design Leadership & Strategic Influence Process Optimization & Design Operations Creative Growth & Portfolio Development AI Integration & Adaptation Strategies Portfolio lacks strategic problem-solving (not just deliverables) Stakeholders undervalue design’s business impact Transitioning to leadership/strategic roles Skill gaps in AI tools (Figma AI, Midjourney, etc.) Specialized Design Areas If you selected "Specialized Design Areas," which ones interest you? - Select -Accessibility & Inclusive DesignService Design & Systems ThinkingInstructional DesignData VisualizationEthical Design & Design ResponsibilityOther (please specify) Other (please specify) In your own words, what specific challenges are you facing in your design career that you hope coaching will address? Save & Resume PreviousNext Section 4: Focus Areas In this section, we dive deeper into the specific areas where you want support. Your answers will guide the coaching sessions to focus on what’s most relevant to you. What’s your #1 priority for coaching? - Select -Break into UX/product design (entry-level strategies)Transition to senior/leadership rolesPivot to hybrid roles (e.g., UX+PM, design+AI prototyping)Curate an AI-augmented portfolio (beyond cookie-cutter work)Upskill in…Communicate design’s ROI to stakeholdersSecuring stable employment in an unpredictable job marketTransitioning between design disciplinesAdvancing my freelance or independent design practiceOther Upskill in... Other How concerned are you about AI disrupting your design role? (1 = Not concerned, 10 = Very concerned) 0 Which specific skills do you want to focus on during coaching? Strategic design thinking and business alignmentCross-functional collaboration and stakeholder managementAdvanced research methods that complement AI capabilitiesCreative problem-solving beyond template-based approachesMeasuring and communicating design impact (metrics & ROI)Balancing efficiency with creative excellenceAI tool mastery and prompt engineering for designersDesign systems implementation and managementInclusive and accessible design practicesPresentation and persuasion skills for design advocacyOther (please specify) Other (please specify) Which AI tools do you currently use? Figma AI Midjourney/DALL-E ChatGPT for UX workflows Adobe Firefly None Other Other AI Tools How would you rate your current confidence level in adapting to AI-driven design tools? 0 What accessibility-related challenges are you facing? Understanding and implementing WCAG standards Integrating accessibility into existing design processes Testing designs for accessibility compliance Advocating for accessibility within my organization Balancing accessibility requirements with other design constraints Other Other: accessibility-related challenges Save & Resume PreviousNext Section 5: Coaching Investment & Logistics Here, we’ll cover practical details, such as your preferred session format, frequency, and availability. This ensures we can offer coaching that fits into your schedule. Are you currently part of an accelerator, mentorship program, or group with similar initiative? Yes No If yes, which program are you a part of? ADPListWomen Who CodeSista CircleThe Tech Equity ProgramTech HustleRussell Innovation Center for EntrepreneursGoodie NationAtlanta Black ChambersAIGADesign Justice NetworkInteraction Design FoundationNone of the above What is your preferred coaching session format? 1:1 Video Call 1:1 Phone Call Small Group Session (3-5 participants) Asynchronous Feedback (written) Hybrid approach What is your preferred session frequency and length? - Select -Weekly 30-minute check-insBi-weekly 45-minute sessionsMonthly 60-minute deep divesSingle intensive 90-minute sessionCustom schedule What are the best days and times for your coaching sessions? Days of the week SundayMondayTuesdayWednesdayThursdayFridaySaturday Times - Select -MorningsAfternoonsEvenings How has the rise of AI and automation impacted your design role or career path? Beyond the initial free 30-minute session, which coaching format would you be most interested in exploring? One-on-one personalized coaching Small group coaching (3-5 participants) Not interested in coaching beyond the free session Undecided at this time If you're considering continued coaching, which investment option aligns with your professional development budget? One-on-one coaching ($225 per session) Group coaching ($450 per month) I would need a more affordable option My company may sponsor my coaching I'm not ready to invest in coaching at this time What specific topics would you like to cover in your first three coaching sessions? Topic Priority HighMediumLow How likely are you to recommend design coaching to a colleague? Not at all Likely Extremely Likely 0 1 2 3 4 5 6 7 8 9 10 Would you like to be added to our monthly newsletter? Yes No Email Previous Submit Your Information