Client 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.
* Required
Email address
*
Your email
Full Name
*
Your answer
Phone Number
Your answer
Email
*
Your answer
Time Zone
*
Your answer
What are the biggest performance challenges your clients face?
*
Your answer
If your clients could wave a magic wand and make it happen, what would their dream life look like?
*
Your answer
What negative recurring thoughts, fears, or behaviours would your clients like to overcome in order to feel more psychologically free, confident and successful?
*
Your answer
What distracts your clients the most from being more productive, and what major projects or missions are they struggling to complete faster or more efficiently?
*
Your answer
CLARITY - Do your clients feel clear about who they are, their purpose, and the direction they want to go in life?
*
1
2
3
4
5
6
7
8
9
10
ENERGY - Do your clients consistently have enough mental and physical energy needed to excel, accomplish their goals, and feel motivated and happy?
*
1
2
3
4
5
6
7
8
9
10
COURAGE - Do your clients take action and consistently express who they truly are and what they truly think, need, and desire with the world?
*
1
2
3
4
5
6
7
8
9
10
PRODUCTIVITY - Are your clients consistently focused and effective, and are they good at minimising distractions and maintaining priorities?
*
1
2
3
4
5
6
7
8
9
10
INFLUENCE - Do your clients feel they have the social influence with their family, friends, and those they serve needed to accomplish their goals?
*
1
2
3
4
5
6
7
8
9
10
THESE NEXT QUESTIONS ARE FOR YOU THE BUSINESS OWNER
*
Understand?
Required
How do your clients challenges impact you and your business?
*
Your answer
How does the success of your clients impact you and your business?
*
Your answer
What do you want your company to be know for? What legacy do you want your company to leave behind?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of I Heart My Life LLC.
Report Abuse
Forms
