ETHIICKS Executive Performance Assessment

ETHIICKS Executive Performance Assessment

Answer a focused 7–10 minute set of questions about your energy, recovery, lifestyle, and performance goals so we can tailor your next steps.
Executive Profile
Full Name

FirstMiddle Last
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Age
Occupation / Professional Role
Company
Typical Work Hours per Week
Work Travel Frequency
What is your biggest challenge maintaining your health routine while traveling?
Performance
Physical performance satisfaction

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1 is Low, 10 is High
Energy satisfaction

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1 is Low, 10 is High
Mental focus satisfaction

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1 is Low, 10 is High
Recovery satisfaction

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1 is Low, 10 is High
Overall health and lifestyle satisfaction

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1 is Low, 10 is High
What do you most want to improve in the next 90 days?
What would being at your physical and mental best allow you to do that you cannot do now?
Training & Physical Performance
Training days per week
Types of training

Other
Training consistency

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1 is Inconsistent, 10 is Very consistent
Movements or activities that are difficult, restricted, or uncomfortable
Are you currently working with a physician, physical therapist, or other licensed healthcare professional for a physical issue?
Optional explanation
Desired physical capability to improve

Other
Energy & Recovery
Typical hours of sleep per night
Sleep quality

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1 is Poor, 10 is Excellent
Daily energy level

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1 is Low, 10 is High
Lowest-energy time of day
Stress level

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1 is Low, 10 is High
How often do work, travel, meetings, or social commitments interfere with recovery?
What gets sacrificed first when workload increases?

Other
Biggest recovery challenge
Nutrition & Lifestyle
Nutrition consistency

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1 is Very inconsistent, 10 is Very consistent
How often do business dinners, travel, or social events affect your nutrition?
Hydration consistency

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1 is Very inconsistent, 10 is Very consistent
Biggest lifestyle area to improve
Healthy habit you struggle to maintain
Mindset & Execution
Ability to maintain healthy routines during high-pressure periods

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1 is Low, 10 is High
Workday focus

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1 is Low, 10 is High
Confidence in following through

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1 is Low, 10 is High
What prevented results in the past?
What have you already tried?
What is the biggest obstacle to reaching your potential?
Performance Gap
What is your biggest current performance challenge?
What is that costing you professionally, personally, or both?
What concerns you most if nothing changes over the next 3–5 years?
What would success look like 90 days from now?
If ETHIICKS could solve one problem for you, what would you want solved?
Readiness
How ready are you to make meaningful changes to support your performance?

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1 is Not ready, 10 is Fully ready
What level of support are you looking for?
What would make this assessment extremely valuable for you?
Next Step
Would you like to see details for a potential 1-on-1 ETHIICKS Private Performance Review?
When would you ideally like to begin working on your performance goals?
Should be Empty:

ETHIICKS Executive Performance Assessment

Executive Profile

Performance

Training & Physical Performance

Energy & Recovery

Nutrition & Lifestyle

Mindset & Execution

Performance Gap

Readiness

Next Step