Formulär

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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 and email or your responses to me
before our call. The first section helps me understand how you are performing in key areas of high performance: clarity, energy,
courage, productivity, and influence. The ten questions help me get to know your goals.

Booking
When you have sent in the form you will be redirected to the online booking where you can choose a time for your free coaching strategy session. The call will take 60-90 minutes.
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Name* Detta fält är obligatoriskt.
First Name
Last Name
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Phone number* Detta fält är obligatoriskt.
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Address* Detta fält är obligatoriskt.
Street Address
Gatuadress Linje 2
City
State
Postal/Zip Code
Vänligen Välj
Vänligen Välj
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Andra
Country
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Email* Detta fält är obligatoriskt.
exempel@exempel.se
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Occupation* Detta fält är obligatoriskt.
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Date of birth* Detta fält är obligatoriskt.
June 6 1989
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Please briefly describe howyou heard about my coaching services and why you would like a Strategy Session with me:* Detta fält är obligatoriskt.
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Questionnaire for your Free Coaching Strategy Session

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

Source: This tool is based on proprietary concepts from High Performance Academy’s Certified High Performance Coach Program™. Do not duplicate or distribute without permission.
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Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?* Detta fält är obligatoriskt.1 = lägst / 10 = högst
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Klarhet
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Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy?:* Detta fält är obligatoriskt.1 = lägst / 10 = högst
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Energi
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Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world?:* Detta fält är obligatoriskt.1 = lägst / 10 = högst
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Mod
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Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?:* Detta fält är obligatoriskt.1 = lägst / 10 = högst
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Produktivitet
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Produktivitet
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Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?:* Detta fält är obligatoriskt.1 = lägst / 10 = högst
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Inflytande
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What do you do for a living, and why did you choose that career?* Detta fält är obligatoriskt.
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What are your top 3 goals you are striving to achieve right now?* Detta fält är obligatoriskt.
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What major stressors or challenges are your struggling with right now?* Detta fält är obligatoriskt.
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When you feel like your most successful and happy self, what makes you feel that way?* Detta fält är obligatoriskt.
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What would your dream life look like if you could wave a wand and make it happen?* Detta fält är obligatoriskt.
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What else has prevented you from having that dream life?* Detta fält är obligatoriskt.
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What goal or dream have you ever given up on or failed at?* Detta fält är obligatoriskt.
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What 3 big changes would you like to make in your life in the next 12 months?* Detta fält är obligatoriskt.
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What are you most proud of and excited about in your life?* Detta fält är obligatoriskt.
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Why would you like to work with a high performance coach?* Detta fält är obligatoriskt.
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