Christopher Davenport
Personal Development Strategist
Certified High Performance Coach

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:

Your Full Name

Address

City, State, Zip

Country

Email

Occupation

Date of Birth

Phone Number

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* 2. Gender

Female

Male

Other

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* 3. Marriage Status

Married

Single

Seperated

Divorced

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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).

	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

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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?

Goal #1

Goal #2

Goal #3

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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?

Big change #1

Big change #2

Big change #3

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