Coaching Session Strategy Questionnaire
Please complete this form and we'll contact you within 48 (business) hours to schedule your complimentary High Performance Coaching Strategy Session.
www.embodiedexcellence.com
Your Full Name: *
Your answer
Company
Your answer
Occupation: *
Your answer
Phone Number: *
Your answer
Email: *
Your answer
City: *
Your answer
State: *
Your answer
Country: *
Your answer
Gender: *
Required
Marital Status: *
Required
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What Interests you about High Performance Coaching? *
Briefly describe how you heard about my coaching services and why you would like to have a Strategy Session with me.
Your answer
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Please rate yourself in the following areas of your life on a scale of 1 to 10:
Clarity: *
Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?
(10 = Highest)
Energy: *
Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy?
(10 = Highest)
Courage: *
Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world?
(10 = Highest)
Productivity: *
Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?
(10 = Highest)
Influence: *
Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?
(10 = Highest)
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1. What do you do for a living, and why did you choose that career? *
Your answer
2. What are your top 3 goals you are striving to achieve right now? *
Your answer
3. What major stressors or challenges are your struggling with right now? *
Your answer
4. When you feel like your most successful and happy self, what makes you feel that way? *
Your answer
5. What would your dream life look like if you could wave a wand and make it happen? *
Your answer
6. What else has prevented you from having that dream life? *
Your answer
7. 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
8. What 3 big changes would you like to make in your life in the next 12 months? *
Your answer
9. What are you most proud of and excited about in your life? *
Your answer
10. Why would you like to work with a high performance coach? *
Your answer
Do you have any other questions or comments?
Your answer
Thank you for completing this Questionnaire!
These answers will help me in providing the absolute best value that I can during our upcoming session. Once received, I'll be in touch within 48 (business) hours to schedule our appointment.
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Source: This tool is based on proprietary concepts from High Performance Institute’s Certified High Performance Coaching ProgramTM. Do not duplicate or distribute without permission.
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