Coaching Strategy Session Application
GOAL: To support you in reaching heightened levels of clarity, every, courage, productivity and influence on your journey to a successful, healthy, and fully charged life.
Email address *
Full Name *
Your answer
Phone Number
Your answer
Skype ID
Your answer
Email *
Your answer
Time Zone *
Your answer
How did you hear about my coaching services, and why would you like to book a Strategy Session with me? *
Your answer
Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest)
CLARITY - Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? *
ENERGY - Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? *
COURAGE - Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? *
PRODUCTIVITY - Are you consistently focused and effective, and are you good at minimising distractions and maintaining priorities? *
INFLUENCE - Do you feel you have the social influence with your family, friends, and those you serve needed to accomplish your goals? *
What do you do for a living, and why did you choose that career? *
Your answer
What are your top 3 goals that 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
If you could wave a magic wand and make it happen, what would your dream life look like? *
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 or excited about in your life? *
Your answer
What negative recurring thoughts, fears, or behaviours would you like to overcome in order to feel more psychologically free, confident and successful? *
Your answer
What eating, exercise or general wellness habits would you like to begin or break in order to feel stronger and physiologically healthy? *
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
If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving? *
Your answer
When do you struggle to be fully present in your day or in any of your relationships? *
Your answer
How purposeful do you feel in living each day, and how would you describe your purpose? *
Your answer
Why would you like to work with a High Performance Coach? *
Your answer
Why do you feel you could be a great student, or coaching client if we worked together? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of I Heart My Life. Report Abuse - Terms of Service