HIGH PERFORMANCE COACHING QUESTIONNAIRE (1 of 3)
GOAL: To help you reach heightened levels of clarity, energy, courage, productivity, and influence on your journey to a successful, healthy and vibrant life.

INSTRUCTIONS: Please answer the questions below and on the following pages to the best of your ability and submit your responses to me before our call. The first page of questions helps me get to know your goals. The second page helps me understand how you are performing in the six pillars of high performance: psychology, physiology, productivity, persuasion, presence and purpose.

Your Full Name:
Your answer
Phone Number:
Your answer
Address:
Your answer
City, State, Zip:
Your answer
Country:
Your answer
Email:
Your answer
Occupation:
Your answer
Date of Birth:
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YYYY
Gender:
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Marriage Status:
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Please briefly describe how you heard about my coaching services and why you would like to work with me?
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