1 to 1 Life Strategy Sessions with Lucia - Application Questionnaire
Please fill out this questionnaire so we can make your journey with Lucia as transformational and impactful as possible.
All information entered is strictly confidential and will never be shared.
Email address *
What is your name? *
What is your time zone? *
What is your age?
Clear selection
What is your marital status? *
What is your employment status? *
If employed, what is the name of the company you work for?
If employed, what is your role in the company you work for?
What is your biggest challenge today? *
What is your experience in coaching, if any? *
What is your total annual income?
How many hours a month do you dedicate to wellness and leadership training?
How do you correlate your happiness to the results and profits in your life and business? *
None
100% correlated
Are you living in your purpose? *
No
Absolutely
Do you make active use of your calendar to bring balance to your life and business?
Clear selection
Do you have an active/exercise routine? *
How often do you exercise per week?
Clear selection
How often do you wish to exercise per week?
Clear selection
What is your nutrition preference?
Are you on a nutritional plan?
Clear selection
How much do you love yourself? *
Not at all
I love myself fully
How happy are you right now? *
Not at all
Thriving!
What is your level of emotional awareness? In essence, are you able to control your emotions (proactive), or are your emotions controlling you (reactive)? *
I don't know how to control how I feel
I am a master at understanding and controlling my emotions
Are you able to manage your own time or is time managing you? *
I can't control time
I create my own experience
What is your relationship with money? *
I am totally misaligned with my finances
Thriving and looking for growth
What is your relationship with business? *
I feel unfulfilled with my business/job
I am in my purpose and love and thrive in what I do
What is your relationship to your body? *
I don't take care of my physical health
I invest in wellness and look after myself every week
What is your relationship with food? *
I don't pay attention to my nutrition
I pay attention and take great care of the foods I ingest
What is your relationship with yourself *
None
Love
What is your relationship with your family? *
None
Love
What is your relationship with your romantic relationships? *
I struggle
I am aligned and love the person I get to share my journey with
How aligned are you with the goals and results you want to achieve in life today? *
I don't know what I want
I am already thriving and want to experience the next level
What are the top 3 challenges you are facing in your life/relationship/business right now? *
Are you willing to see your challenges through to the end and not give up easily? *
What would be your #1 goal today for engaging in life strategy coaching sessions with Lucia? *
Do you believe with next-level capabilities that you can achieve your next level in life? *
Are you a driven person who will see challenges through to the end and not easily give up? *
Are you willing to invest in yourself and experience transformation in your life? *
Are you willing to commit to an appropriate amount of time to learning and growing your areas of life? *
Would you like to share anything else with Lucia?
A copy of your responses will be emailed to the address you provided.
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