Questionnaire for your Coaching Strategy Session

Questionnaire for your 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 questions below and on the following pages to the best of your ability. Once submitted, you'll be invited to schedule a date and time for our call.
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Occupation *
Occupation
Date of Birth *

Month Day Year
Date of Birth
Gender

Female Male
Marriage Status

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

Tell me about yourself...
1: What do you do for a living, and why did you choose that career?
2: What are your top 3 goals that you are striving to achieve right now?
3: What major stressors or challenges are you struggling with right now?
4: When you feel like your most successful and happy self, what makes you feel that way?
5: What would your dream life look like if you could wave a wand and make it happen?
6: What else has prevented you from having that dream life?
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?
8: What 3 big changes would you like to make in your life in the next 12 months?
9: What are you most proud of and excited about in your life?

High Performance Questions:
1: What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident and successful?
2: What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically?
3: What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently?
4: If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving?
5: When do you struggle to be fully present in your day or in any of your relationships?
6: How purposeful do you feel in living each day, and how would you describe your purpose?
7: Why would you like to work with a high performance coach?
8: Why do you feel you could be a great student or coaching client if we worked together?
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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