Free Strategy Session Questionnaire
Complete this short questionnaire to gain clarity on your current challenges and goals. Your responses help create a focused, high-impact coaching session. I will contact you to schedule your session and start moving towards your goals.
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Email *
Full Name *
Phone Number *
City/State *
Occupation *
Date of Birth *

Please briefly describe how you heard about my coaching services and why you would like a Strategy Session with me:

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Please rate yourself in the following areas of your life on a scale of 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?

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Low
High

Energy:

Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy?

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Low
High

Courage:

Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world?

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Low
High

Productivity:

Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?

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Low
High

Influence:

Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?

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Low
High

What do you do for a living, and why did you choose that career?

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What are your top 3 goals you are striving to achieve right now?

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What major stressors or challenges are your struggling with right now?

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When you feel like your most successful and happy self, what makes you feel that way?

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What would your dream life look like if you could wave a wand and make it happen?

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What else has prevented you from having that dream life?

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What goal or dream have you ever given up on or failed at?

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What 3 big changes would you like to make in your life in the next 12 months?

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What are you most proud of and excited about in your life?

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Why would you like to work with a high performance coach?

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A copy of your responses will be emailed to the address you provided.
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