APPLICATION FOR YOUR COACHING STRATEGY SESSION

Goal: To help you reach heightened levels of clarity, energy, courage, productivity, and influence on your march to a successful, healthy, and fully charged life.
 
Instructions:
Please answer the following questions to the best of your ability and submit your responses to me before our appointment.

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* 1. Contact Information:

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* 2. Gender

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* 3. Marriage Status

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* 4. Please briefly describe how you heard about my coaching services and why you would like a Strategy Session with me:

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* 5. Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest).

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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 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?

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* 6. What do you do for a living, and why did you choose that career?

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* 7. What are your top 3 goals you are striving to achieve right now?

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* 8. What major stressors or challenges are you struggling with right now?

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* 9. When you feel like your most successful and happy self, what makes you feel that way?

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* 10. What would your dream life look like if you could wave a wand and make it happen?

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* 11. What else has prevented you from having that dream life?

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* 12. What goal or dream have you ever given up on or failed at, and what do you believe caused you to stop or fail?

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* 13. What 3 big changes would you like to make in your life in the next 12 months?

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* 14. What are you most proud of and excited about in your life?

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