Coaching Strategy Session Questionnaire

COACHING STRATEGY SESSION QUESTIONNAIRE

INSTRUCTIONS

Please set aside 30 minutes to answer the questions below to the best of your ability.

There are no right or wrong answers.

After submission, I will be in contact with you to schedule your free one hour coaching session.

Your Full Name

First Name

Last Name

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation

Date of Birth

YYYY

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.

Self Rating

Please rate yourself in the following areas of your life on a scale of 1-10 (with 1 being "no, not at all" and 10 being "absolutely, yes")

Clarity

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

Energy

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

Courage

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

Productivity

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

Influence

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

Getting To Know You

10 Questions Total

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, 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 has prevented you from having that dream life?

7. What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently?

8. What goal or dream have you ever given up on or failed at, and what do you believe caused you to stop or fail?

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

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

High Performance Questions

8 Questions Total

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 Coaching Program™. Do not duplicate or distribute without permission.