Christopher Davenport Personal Development Strategist Certified High Performance Coach Survey

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.

	1	2	3	4	5	6	7	8	9	10
Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 1	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 2	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 3	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 4	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 5	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 6	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 7	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 8	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 9	Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 10
Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy?	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 1	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 2	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 3	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 4	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 5	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 6	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 7	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 8	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 9	Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 10
Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world?	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 1	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 2	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 3	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 4	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 5	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 6	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 7	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 8	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 9	Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 10
Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 1	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 2	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 3	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 4	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 5	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 6	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 7	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 8	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 9	Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 10
Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 1	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 2	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 3	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 4	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 5	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 6	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 7	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 8	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 9	Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 10

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 1

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 2

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 3

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 4

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 5

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 6

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 7

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 8

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 9

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? 10

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy?

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 1

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 2

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 3

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 4

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 5

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 6

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 7

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 8

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 9

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 10

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world?

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 1

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 2

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 3

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 4

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 5

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 6

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 7

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 8

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 9

Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 10

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 1

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 2

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 3

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 4

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 5

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 6

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 7

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 8

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 9

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 10

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 1

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 2

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 3

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 4

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 5

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 6

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 7

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 8

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 9

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 10

Christopher Davenport
Personal Development Strategist
Certified High Performance Coach

APPLICATION FOR YOUR COACHING STRATEGY SESSION

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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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* 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?