Strategy Session 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 complete the assessment.  It should take less than 20 minutes.  Be thoughtful about it.  Your information and your responses are confidential and will not be shared with anyone.  We'll use it to get a "running start" on helping you move to higher levels of performance!  After reviewing your questionnaire, we will approve your appointment, if appropriate.  

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High Performance Areas Self-Ratings

Please rate yourself on a scale fo 1 (lowest) to 10 (highest) on the following questions.

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

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

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

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

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

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6.  What else has prevented you from having that dream life?

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

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

High Performance Questions:

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

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

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

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

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

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

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

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

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