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Questionnaire

For Your Free 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.

There are two segments for you to submit. The first segment is for your personal info.

Thank you!

Please fill in the part two

of the questionnaire below

Instructions:

This second segment helps me understand how you are performing in the six pillars of high performance:

psychology, physiology, productivity, persuasion, presence, and purpose.

Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest)

Clarity:

Energy:

Courage:

Productivity:

Influence:

Thank You!

I want to honor you for taking the action to grow yourself!

I'll reach out to you soon to schedule the session with you.

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