Certified High Performance Coach Application
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Email *
Please complete the following application to work with Julie Hruska, Superior High Performance Strategist & Elite Certified High Performance Coach
Your Full Name *
Phone Number *
Mailing Address *
Occupation *
Date of Birth *
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Marital Status
Please briefly describe why you would like to be considered as a client of Julie Hruska
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 & the direction you want to go in life?
lowest
highest
Clear selection
ENERGY: Do you consistently have enough mental & physical energy needed to excel & accomplish your goals?
lowest
highest
Clear selection
MOTIVATION: How would you rate your levels of motivation and happiness?
lowest
highest
Clear selection
PRODUCTIVITY: Are you consistently focused & effective, able to minimize distractions & get work done efficiently?
lowest
highest
Clear selection
INFLUENCE: Do you feel you have the influence needed to accomplish your goals?
lowest
highest
Clear selection
PURPOSE: How purposeful do you feel in living each day?
lowest
highest
Clear selection
What do you do for a living & why did you choose that career?
What are the top 3 goals you are striving to achieve right now?
What major stressors are you struggling with right now?
When you feel your most successful, what makes you feel that way?
What makes you happy?
Please describe your dream life
What has prevented you from having that dream life?
What goal or dream have you 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 the next 12 months?
What are you most excited about in your life?
What negative, recurring thoughts, fears or behaviors would you like to overcome in order to feel more confident?
What health habits would you like to begin or break to feel stronger and more healthy physiologically?
What major projects or missions are you struggling to complete? What distracts you the most?
If you were more influential, what dream would you ask others to support you in achieving?
When & where do you struggle to be fully present?
How would you describe your purpose?
Why would you like to work with Julie Hruska?
If accepted, why do you feel you would be an excellent coaching client?
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