Application for 1-1 Strategy Session
If you are serious about becoming a high performer and taking your life to the next level: in health, relationships, career, wealth and happiness, fill out the application below. If you qualify I will contact you to set up a time for our 60 minute strategy session.
Email address *
Your full name *
Your answer
Phone number *
Your answer
Address *
Your answer
City, Province/ State, Postal Code/ Zip Code *
Your answer
Country *
Your answer
Occupation *
Your answer
Date of Birth *
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Marriage Status *
Briefly describe how you heard about my coaching services and why you would like a Strategy Session with me. *
Your answer
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? *
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 toward what is the most meaningful in your life? *
Influence: Do you feel you have the social influence with your family, friends and team needed to accomplish your goals? *
What do you do for a living, and why did you choose that career? *
Your answer
What are your top 3 goals you are striving to achieve right now? *
Your answer
What major stressors or challenges are you struggling with right now? *
Your answer
When you feel like your most successful and happy self, what makes you feel that way? *
Your answer
What would your dream life look like if you could wave a magic wand and make it happen? *
Your answer
What has prevented you from having that dream life? *
Your answer
What goal or dream have you ever given up on or failed at, and what do you believe caused you to fail? *
Your answer
What 3 big changes would you like to make in your life in the next 12 months? *
Your answer
What are you most proud of and excited about in your life?* *
Your answer
High Performance Questions
What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident, and successful? *
Your answer
What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically? *
Your answer
What distracts you most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently? *
Your answer
If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving? *
Your answer
When do you struggle to be fully present in your day or in any of your relationships? *
Your answer
How purposeful do you feel in living each day, and how would you describe your purpose? *
Your answer
Why would you like to work with a high performance coach? *
Your answer
Why do you feel you could be a great student or coaching client if we worked together? *
Your answer
Are you prepared to invest the time, energy, and money to take your life to the next level? *
A copy of your responses will be emailed to the address you provided.
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