Discovery Session Questionnaire
GOAL: To help you reach heightened levels of clarity, energy, courage, productivity, and influence on your march to a successful, healthy, and fully charged life.

INSTRUCTIONS:
Please answer the questions below to the best of your ability. The more open and honest you are, the better I can serve you! Once you have submitted your responses, you will be prompted to schedule your complimentary High Performance Coaching Strategy Session with me at the end of this questionnaire.

Email address *
Full Name *
Your answer
Company
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
City/Town *
Your answer
State/Province *
Your answer
ZIP / Postal Code *
Your answer
Country *
Your answer
Phone Number *
Your answer
What is your current occupation? *
Your answer
When is your birthday? *
MM
/
DD
/
YYYY
What is your gender? *
What is your marital status? *
Briefly describe how you heard about my coaching services and why you'd like to work with me: *
Your answer
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