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Coaching Application

Fill out this questionnaire to apply for a strategy coaching session with David

Please answer all of the questions to the best of your ability

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Question 1 of 20

Full Name:

Question 2 of 20

Address:

Question 3 of 20

Occupation

Question 4 of 20

New 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):

Question 6 of 20

Clarity:

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


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Question 7 of 20

Energy:

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

 

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Question 8 of 20

Courage:

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


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Question 9 of 20

Productivity:

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


On a scale of 1 (lowest) to 10 (highest):

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Question 10 of 20

Influence:

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

 

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Question 11 of 20

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

Question 12 of 20

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

Question 13 of 20

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

Question 14 of 20

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

Question 15 of 20

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

Question 16 of 20

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

Question 17 of 20

7. What goal or dream have you ever given up on or failed at?

Question 18 of 20

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

Question 19 of 20

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

Question 20 of 20

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

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