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Discovery Session Questionnaire

The purpose of this questionnaire is to help me better understand your levels of clarity, energy, courage, productivity and influence, as well as how you feel, action, connect, think and sense your surroundings, as we start on your journey towards a successful, healthy and fully charged life.

Please allow approximately 45 minutes to complete your application.  Please be as honest and open as possible.  When you have completed your application you will be given a link to my calendar to book your 1hr one-on-one discovery session.  You will also be sent an email with a link to view your results.

Please click the button below to start your application.

Start

Question 1 of 28

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? (1 lowest, 10 highest)

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Question 2 of 28

Energy:  Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? (1 lowest, 10 highest)

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Question 3 of 28

Courage:  Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? (1 lowest, 10 highest)

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Question 4 of 28

Productivity: Are you consistently focused and effective, and are you good at minimising distractions and maintaining priorities? (1 lowest, 10 highest)

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Question 5 of 28

Influence:  Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? (1 lowest, 10 highest)

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Question 6 of 28

Why is it necessary for you now to reach out to a Certified Brain Health and High Performance Coach?

Question 7 of 28

Feelings:  Do you feel you are able to manage your emotions consistently and express how you want to feel to yourself and those around you? (1 lowest, 10 highest)

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Question 8 of 28

Actions: Are you doing the things that are important to you (e.g. in terms of exercise, family and friends, hobbies, community engagement and work), and avoiding the distractions and temptations in life that pull you away from showing up as your best self? (1 lowest, 10 highest)

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Question 9 of 28

Connection to yourself:  Do you feel clear about who you are, what your purpose is, what your values and beliefs are and feel congruent with them and connected to the best of you? (1 lowest, 10 highest)

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Question 10 of 28

Connection to others:  Do you feel truly connected to those that are important to you in life, and have a network of people that help you generate happiness and achieve your goals and dreams? (1 lowest, 10 highest)

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Question 11 of 28

Thoughts: Do you have the clarity of thought as to what is important to you in life, and are able to manage any negative self talk and take the time out to think strategically about how you can achieve your goals and dreams? (1 lowest, 10 highest)

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Question 12 of 28

Surroundings:  Do you feel that your surroundings at home and in the workplace are optimised to help you show up as the best of you? (1 lowest, 10 highest)

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Question 13 of 28

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

Question 14 of 28

What top three goals are you striving to achieve right now?

Question 15 of 28

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

Question 16 of 28

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

Question 17 of 28

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

Question 18 of 28

What has prevented you from having that dream life?

Question 19 of 28

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

Question 20 of 28

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

Question 21 of 28

What negative recurring thoughts, fears, or behaviours would you like to overcome in order to feel more psychologically free, confident and successful?

Question 22 of 28

What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically?

Question 23 of 28

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

Question 24 of 28

If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving?

Question 25 of 28

When do you struggle to be fully present in your day or in any of your relationships?

Question 26 of 28

How purposeful do you feel in living each day, and how would you describe your purpose?

Question 27 of 28

What attracted you to wanting to work with a Certified Brain Health and High Performance Coach?

Question 28 of 28

Why do you think you make a great student?

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