Copy of Questionnaire for Your Coaching Strategy Session Question Title * 1. Your Full Name Question Title * 2. Phone Number Question Title * 3. Address Name Address Address 2 City/Town State/Province ZIP/Postal Code Country Question Title * 4. Email Question Title * 5. What is your gender? Female Male Other (specify) Question Title * 6. What is your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older Question Title * 7. Occupation Question Title * 8. Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest) Question Title * 9. Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? (scale of 1-10) Question Title * 10. Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? (scale of 1-10) Question Title * 11. Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? (scale of 1-10) Question Title * 12. Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? (scale of 1-10) Question Title * 13. Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? (scale 1-10) Question Title * 14. What do you do for a living, and why did you choose that career? Question Title * 15. What 3 big changes would you like to make in your life in the next 12 months? Question Title * 16. Why would you like to work with a high performance coach? Done