What Does an Executive Coach Do? Your Questions Answered. If you’re a senior leader, VP, or C-suite executive in the Buffalo–Niagara region wondering whether executive coaching is worth the investment — this page is for you. At Axiom Coaching, we’ve worked with leaders across Western New York since 2014. The questions below are the ones we hear most often — from executives who are ready to lead better but aren’t sure where to start. Q: What exactly is executive coaching, and