This questionnaire acts as an application for High Performance Coaching. If your application is successful, I will contact you to arrange a strategy session before committing to work together. (Please note, the investment to secure your strategy session is only $97.)
Email address *
First Name *
Last Name *
Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? *
Least Clear
Most Clear
Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? *
Least Energy
Most Energy
Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? *
Least Courage
Most Courage
Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? *
Least Productive
Most Productive
Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?
Least Influential
Most Influential
Clear selection
What do you do for a living, and why did you choose that career? *
What are your top 3 goals you are striving to achieve right now? *
What are your top 3 goals you are striving to achieve right now? *
When you feel like your most successful and happy self, what makes you feel that way? *
What would your dream life look like if you could wave a wand and make it happen? *
What else has prevented you from having that dream life? *
What goal or dream have you ever given up on or failed at, and what do you believe caused you to stop or fail? *
What 3 big changes would you like to make in your life in the next 12 months? *
What are you most proud of and excited about in your life? *
What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free,confident and successful? *
What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically? *
What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently? *
If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving? *
When do you struggle to be fully present in your day or in any of your relationships? *
How purposeful do you feel in living each day, and how would you describe your purpose? *
Why would you like to work with a high performance coach? *
Why do you feel you could be a great student or coaching client if we worked together? *
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