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The Steps to Your Breakthrough are as Easy as 1-2-3.

No.1 - Complete the application below

Dedicate 20-30 minutes to really sit with it. I can't help you with what I don't know. Anything you put down, or any area that you want to work on is completely confidential. It's just you and me, baby!

No.2 - Book your sessions

Make sure you've scheduled your sessions for a time when you can be in a quiet place during the call. I prepare extensively for your appointment and I take your time very seriously. When I'm on the call with you, you have my full attention and energy. I'll be in a super quiet place where I can fully concentrate on YOU! So please have the same respect for yourself, your time, and your money as I do. If you need to reschedule, please do so now or within 48 hours of your appointment.

If you cancel your appointment in under 48 hours, your session is non-refundable. (Pro tip: Prepare in advance + Do it right the first time.)

Welcome to the beginning of your breakthrough.

Name *
Name
Address *
Address
Phone *
Phone
Date of Birth *
Date of Birth
Marriage Status *
Gender *
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Do you feel you are clear about who you are, your purpose, and the direction you want to go in life? *
Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest)
Do you consistently have enough mental, physical, and emotional energy needed to excel, accomplish your goals, and feel motivated and happy? *
Please rate yourself in the following area of your life, on a scale of 1 (lowest) to 10 (highest)
Do you take action and consistently express who you truly are and what you truly think, need, and desire, with the world? *
Please rate yourself in the following area of your life, on a scale of 1 (lowest) to 10 (highest)
Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? *
Please rate yourself in the following area of your life, on a scale of 1 (lowest) to 10 (highest)
Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? *
Please rate yourself in the following area of your life, on a scale of 1 (lowest) to 10 (highest)
 
This tool is based on proprietary concepts from High Performance Institute's Certified High Performance Coaching Program.
Do not duplicate or distribute without permission.