Apply For Your Free Strategy Session

This questionnaire helps me understand where you're starting from before we talk — your goals, what's in the way, and how you're doing across the five pillars. Takes about ten minutes. I read every application myself — no bots, no auto-responses. Answer honestly; it's the fastest way for both of us to know if this is the right fit.

Contact Info

Full Name

Phone Number

Address (optional)

City, State, Zip

Country

Occupation

Date of Birth (optional)

Getting To Know You

What's pulling you toward coaching right now?

Career Marriage & Family Both Other

Rate yourself 1–10 on each pillar

1 = not at all like me · 10 = completely like me

Clarity5

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

Energy5

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

Courage5

Do you take action and consistently express what you truly think, need, and desire — with the people around you?

Productivity5

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

Influence5

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

How did you hear about my coaching services, and why would you like a strategy session with me?

What do you do for a living, and why did you choose that career?

What are your top 3 goals you're striving to achieve right now?

What major stressors or challenges are you struggling with right now?

When you feel like your most successful and happy self, what makes you feel that way?

What would your dream life look like if you could wave a wand and make it happen?

What's prevented you from having that dream life so far?

What's a goal or dream you've ever given up on or failed at?

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

What are you most proud of and excited about in your life right now?

Why would you like to work with a coach?

Readiness & Commitment

How ready are you to make real changes right now, starting today?

1 = not ready at all · 10 = completely ready, starting today

Before We Talk

What days/times generally work best for a call?

Anything else you want me to know before we talk? (optional)

Acknowledgment

Source: These tools are based on proprietary concepts from High Performance Academy's Certified High Performance Coaching Program™. Do not duplicate or distribute without permission.

Something went wrong submitting your application. Please try again, or email directly.

You're In.

Thanks for applying. I read every application myself — no bots, no auto-responses.

I'll review yours and reach out within 48 hours to schedule your free strategy session over Zoom, at a time that actually works for your schedule.

Apply For Your Free Strategy Session

You're In.

Join Our Free Trial