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Individual Coaching Application

This is the first step in your Transformation  journey! Complete this application, and I will be in touch to schedule your FREE strategy call!

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 on the following pages to the best of your ability!

Click the button below to start.

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Question 1 of 14

Which of the following best describes your current relationship status?

A

Married

B

Single, never married

C

In a relationship

D

Divorced

E

Separated

F

Widowed

Question 2 of 14

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

A

Definitely!

B

Usually

C

Sometimes

D

Not really

E

No. I'm struggling with this.

Question 3 of 14

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

A

Definitely!

B

Usually

C

Sometimes

D

Not Really

E

No. I'm struggling with this.

Question 4 of 14

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

A

Definitely!

B

Usually

C

Sometimes

D

Not Really

E

No. I'm struggling with this.

Question 5 of 14

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

A

Definitely!

B

Usually

C

Sometimes

D

Not Really

E

No. I'm struggling with this.

Question 6 of 14

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

A

Definitely!

B

Usually

C

Sometimes

D

Not Really

E

No. I'm struggling with this.

Question 7 of 14

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

Question 8 of 14

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

Question 9 of 14

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

Question 10 of 14

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

Question 11 of 14

What would your dream life look like if you could wave a wand and make it happen? What has prevented you from having that dream life?

Question 12 of 14

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

Question 13 of 14

What distracts you the most from being more productive?

Question 14 of 14

Why would you like to work with a High Performance Coach?

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