Coaching Questionnaire
Thank you for your interest in High Performance Coaching! Please complete this questionnaire in order to request and schedule a strategy session with Michelle. If you have any questions, please email info@mdhgroupllc.com. Look forward to talking with you soon!
Email address *
Your Full Name: *
Your answer
Phone number: *
Your answer
Address *
Your answer
City, State, Zip: *
Your answer
Country: *
Your answer
Email: *
Your answer
Occupation: *
Your answer
Date of birth: *
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Gender:
Marriage status:
Your answer
General Questions:
Please briefly describe how you heard about our coaching services and why you would like a Strategy Session: *
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 directions 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 minimizing distractions and maintaining priorities? *
Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? *
What do you do for a living, and why did you choose that career? *
Your answer
What are you top 3 goals 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
What would your dream life look like if you could have it and make it happen?
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 and excited about in your life? *
Your answer
High Performance Questions:
What negative recurring thoughts, fears, or behaviors would like to overcome in order to feel more psychologically free, confident, and successful? *
Your answer
What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically? *
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
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
Source: This tool is based on proprietary concepts from The High Performance Institute’s Certified High Performance Coach ProgramTM. Do not duplicate or distribute without permission.
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