Questionnaire for Your

Complimentary Coaching Strategy Session with

Dr Neslyn Watson-Druée, CBE FCGI FRCN – Certified High Performance Coach – Thinking Environment Coach – One Command Coach – Awarded Best 100 Global Coaching Leaders by World HRD Congress 2017

The Goal of this Complimentary Session is:

To help you reach heightened levels of clarity, energy, courage, productivity, and influence on your progress to a successful, healthy, fully charged life with focus on your business.

Instructions:

Please answer the questions below and on the following pages to the best of your ability then save your responses and email your responses to me prior to setting up a complimentary coaching telephone, Zoom or SKYPE call with you. The first section of the questionnaire helps me get to know your goals. The second section helps me understand how you are performing in the six pillars of high performance: psychology, physiology, productivity, persuasion, presence, and purpose. The final questions enable me to have an understanding of your desire to develop your emotional intelligence even more.

Please return your response to: Neslyn@Neslyn.com

 

Your Full Name:                _________________________________

Phone Number:                 _________________________________

Address:                          _________________________________

City, County, Post Code   _________________________________

Country:                            _________________________________

Email:                               _________________________________

Occupation:                      _________________________________

Date of Birth:                  _________________________________

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:

 

 

 

 

 

General Questions:

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

 

 

 

 

  1. What are the top 3 goals you are striving to achieve in your life and career right now?

 

 

 

 

  1. What major stressors and challenges are you struggling with right now?

 

 

 

 

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

 

 

 

 

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

 

 

 

 

  1. What has prevented you from having that dream life?

 

 

 

 

  1. What goal or dream have you ever given up on or failed at?

 

 

 

 

 

  1. What 3 big changes would you like to make in your life this year and next year?

 

 

 

 

  1. How clear is your vision for your business and your personal life?

 

 

 

 

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

 

 

 

 

  1. How would you describe your ideal coach?

 

 

 

 

High Performance Questions:

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

 

 

 

 

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

 

 

 

 

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

 

 

 

 

  1. If you felt even more persuasive or influential, what dream or desire would you ask others to support you in achieving?

 

 

 

 

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

 

 

 

 

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

 

 

 

 

  1. What is the legacy that you would like to leave in your profession or business?

 

 

 

 

Emotional Intelligence

  • How aware are you of your thinking and feeling in given situations and the impact of your personal opinions, attitudes and judgements?

 

 

 

  • How well do you like yourself and how confident are you in applying your skills, abilities and judgements to maintain motivation and achieve challenging goals?

 

 

 

  • To what extent would you describe yourself as a self-reliant and self directed person with recognition of your responsibility and power to choose between options and make decisions?

 

 

 

  • On a scale of  1 -10 (1 being low and 10 as high) What is the degree of confidence you have to clearly express your feelings and points of view openly in a straightforward way, while respecting the fact that others may hold a different opinion or expectation?

 

 

 

  • How well are you able to manage your emotions and restrain your actions until you have had time to think rationally?

 

 

 

  • To what degree are you able to adapt your thinking, feelings and actions in response to changing circumstances?

 

 

 

  • How optimistic and resilient are you in the face of adversity?

 

 

 

Please return your response to: Neslyn@Neslyn.com