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Questionnaire for 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 all the questions below to the best of your ability. Once your questionnaire has been submitted, you'll receive the link to schedule your strategy session. 

Click the button below to start.

Start

Question 1 of 37

Your Full Name:

Question 2 of 37

Phone Number: 

Question 3 of 37

Address:

Question 4 of 37

City, State, Zip:

Question 5 of 37

Country

Question 6 of 37

Email Address:

Question 7 of 37

Occupation:

Question 8 of 37

Date of Birth: (dd/mm/yyyy)

Question 9 of 37

Gender:

A

Female

B

Male

Question 10 of 37

Marital Status: 

A

Married

B

Single

C

In Relationship

D

Divorced

Question 11 of 37

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

Where Do You Rank?

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

Question 13 of 37

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

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 14 of 37

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

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 15 of 37

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

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 16 of 37

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

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 17 of 37

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

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

General Questions

Please answer the questions below so I can learn a bit about you.

Question 19 of 37

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

Question 20 of 37

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

Question 21 of 37

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

Question 22 of 37

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

Question 23 of 37

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

Question 24 of 37

What has prevented you from having that dream life?

Question 25 of 37

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 26 of 37

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

Question 27 of 37

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

High Performance Questions

These questions pertain specifically to areas that can influence your ability for High Performance. Please answer honestly and as completely as possible.

Question 29 of 37

What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident and successful?

Question 30 of 37

What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically?

Question 31 of 37

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 32 of 37

If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving?

 

Question 33 of 37

When do you struggle to be fully present in your day or in any of your relationships?

 

Question 34 of 37

How purposeful do you feel in living each day, and how would you describe your purpose?

Question 35 of 37

Why would you like to work with a high performance coach?

Question 36 of 37

Why do you feel you could be a great student or coaching client if we worked together?

Thank You for Completing Your Strategy Session Questionnaire

 

Once you click the Submit Button below, you will receive an email containing the link to schedule your Strategy Session.

So keep an eye on your inbox!

 

If you have questions or need support, please contact us at: [email protected]

 

Source: This tool is based on proprietary concepts from High Performance Institute's Certified High Performance Coach Program™. Do not duplicate or distribute without permission.

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