Discipline Coaching Program Application
Name
Your answer
Age
Your answer
Occupation(s)
Your answer
Married? Children? Tell me a little about your family.
Your answer
In what areas of your life are you NOT happy with your results? Examples would be health, fitness, relationship, wealth, communication, etc.
Your answer
What is one area of your life where you are lacking discipline the most? Explain.
Your answer
In what areas of your life are you happy with your results?
Your answer
What area of your life are you the most disciplined? Explain.
Your answer
How do you plan your daily activities? Describe your typical day.
Your answer
What holds you back from going after your ultimate dreams?
Your answer
What are the Podcasts, Books, blogs etc. that you have listened to/read in the past to move you closer to accomplishing your goals?
Your answer
Why do you feel that you need to work with a coach rather than implementing information found in existing books, on websites, etc?
Your answer
Please describe 2-3 specific results that you would like from working with me.
Your answer
Being a part of this program requires serious commitment in terms of time, effort, energy and money. Are you prepared to make such a commitment?
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Tell me anything else you would think would be relevant to helping me to get you your results.
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