Coaching Strategy Session Pre-Questionnaire

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 questions below and submit your responses to me 24 hrs. before our call.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Date of Birth

Marital Status

Married

Single

Divorced

Widowed

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

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

Clarity:

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

Energy:

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

Courage:

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

Productivity:

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

Influence:

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

Please answer the following High Performance Questions:

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

2. What are your goals over the next 3 months and what would accomplishing these achievements mean to you? *

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

4. How are these affecting your health, relationships and finances?

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

6. What would your dream life (or business) look like if you could wave a wand and make it happen?

7. What has prevented you from having that?

8. What goal or dream have you ever given up on or failed at, and what do you believe caused you to stop or fail?

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

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

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

12. What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently?

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

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

If you haven't already scheduled your free strategy session, please do so below:

“The last person you ever want to meet at your deathbed is the person you could have been. ”