High Performance Coaching Application

Application for High Performance Coaching

Congratulations for taking this next step in your personal growth! My goal is to help you reach heightened levels of clarity, energy, courage, productivity, and influence on your march to a successful, healthy, and fully charged life. Please answer the questions below and on the following pages to the best of your ability. When you press submit, we will both receive a copy of your responses.
Personal Information:
Full Name*

First NameMiddle NameLast Name
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Occupation*
Date of Birth*

MonthDayYear
Gender
How do you identify? If you would prefer not to answer you can leave this box blank.
Please briefly describe how you heard about my coaching services: *
I am interested in (please select all that apply):

1:1 CoachingSmall Group Cohort: High Performance HabitsSmall Group Cohort: The 10 Human DrivesA strategy discussion to better understand the best fit for me

Questions Continued

Please answer the questions below to the best of your ability.
1. What do you do for a living, and why did you choose that career? *
2. What are your top 3 goals 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:

Please answer the questions below to the best of your ability.
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 like to 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?*
9. Why do you feel you could be a great student or coaching client if we worked together? *
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Application for High Performance Coaching