Personal Performance Assessment
GOAL: To support you in reaching heightened levels of clarity, every, courage, productivity and influence on your journey to a successful, healthy, and fully charged life.
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Email *
Full Name *
Email *
Time Zone *
Please rate your self in these following areas. 1 (lowest) to 10 (highest)
CLARITY - Do you feel  you are clear about who you are, your purpose, and the direction you want to go in life? *
ENERGY - Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? *
COURAGE - Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? *
PRODUCTIVITY - Are you consistently focused and effective, and are you good at minimising distractions and maintaining priorities? *
INFLUENCE - Do you feel you have the leadership influence with your clients and team, needed to accomplish your goals? *
Describe your career and why you chose it as your career. *
What are your top 3 goals that you are striving to achieve right now? *
What major stressors or challenges are you struggling with right now? *
When you feel like your most successful and happy self, what makes you feel that way? *
If you could wave a magic wand and make it happen, what would your dream life look like? *
What else has prevented you from having that dream life? *
What 3 big changes would you like to make in your life in the next 12 months? *
What are you most proud of or excited about in your life? *
What negative recurring thoughts, fears, or behaviours would you like to overcome in order to feel more psychologically free, confident and successful? *
What eating, exercise or general wellness habits would you like to begin or break in order to feel stronger and physiologically healthy? *
What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently? *
If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving? *
When do you struggle to be fully present in your day or in any of your relationships? *
How purposeful do you feel in living each day, and how would you describe your purpose? *
Why do you think you'd be a great client for a coaching relationship? *
A copy of your responses will be emailed to the address you provided.
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