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Questionnaire
Please fill out this form before our strategy session. I am asking a ton of questions so we can hit the ground running!
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Email
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Your email
Name
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Your answer
Phone number (with area code)
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Your answer
Briefly describe how you heard about my coaching services and why you would like a strategy session with me:
Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest):
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Clarity
Energy
Courage
Productivity
Influence
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Clarity
Energy
Courage
Productivity
Influence
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 wand and make it happen?
Your answer
What else 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 stop or 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
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 the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently?
Your answer
How purposeful do you feel in living each day, and how would you describe your purpose?
Your answer
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