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. Occupation Question Title * 6. Date of Birth Date / Time Date Question Title * 7. Gender Male Female Question Title * 8. Please briefly describe how you heard about my coaching services and why you would like a Strategy Session with me Question Title * 9. Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest) Question Title * 10. 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 * 11. 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 * 12. 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 * 13. Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? (scale of 1-10) Question Title * 14. 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 * 15. What do you do for a living, and why did you choose that career? Question Title * 16. What are your top 3 goals you are striving to achieve right now? Question Title * 17. What major stressors or challenges are you struggling with right now? Question Title * 18. When you feel like your most successful and happy self, what makes you feel that way? Question Title * 19. What would your dream life look like if you could wave a wand and make it happen? Question Title * 20. What else has prevented you from having that dream life? Question Title * 21. What goal or dream have you ever given up on or failed at, and what do you believe caused you to stop or fail? Question Title * 22. What 3 big changes would you like to make in your life in the next 12 months? Question Title * 23. What are you most proud of and excited about in your life? Question Title * 24. What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident and successful? Question Title * 25. What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically? Question Title * 26. What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently? Question Title * 27. If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving? Question Title * 28. When do you struggle to be fully present in your day in any of your relationships? Question Title * 29. How purposeful do you feel in living each day, and how would you describe your purpose? Question Title * 30. Why would you like to work with a high performance coach? Question Title * 31. Why do you feel you could be a great student or coaching client if we worked together? Done