Free Consultation Free Consultation Survey To help us give you the best breakthrough experience possible please take this 1 minute survey. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number(optional)1. Do you have a clear goal you want to achieve?yesno2. Please list your goals below (if applicable)3. What have you tried?CoachingVisualizationHabit formationNone of the above4. How do you feel about your goal?I must achieve itIt would be nice to achieve itIt would be cool but ehh5. How do you track your progress?JournalingApps/toolsCoach/mentorI don't track my progress6. Which statement is most true about your environment?It supports my growthIt sometimes helps/sometimes hurtsIt drains or distracts me there your best 7. Do you celebrate progress?Yes, consistentlyOccasionallyNo, I usually skip that part8. When working toward goals, what motivates you more? Internal motivation (self-pride, purpose)External motivation (validation, rewards)9. How do you feel throughout your day?Motivated and energizedTired but resilientLike i'm moving through mud10. When do you feel most productiveMorningAfternoonEvening11. Which best describes your current situationI am close to my goalI am not close to my goal but I feel it is attainableI am nowhere near my goal and losing hope12. Which best describes your desired outcome in 90 daysAchieve my goalHave energy throughout my dayBecome a person I can be proud of13. What is the obstacles are in between you and your goal?Lack of TimeLack of ClarityLack of consistencyFear of failureOther14. Which situation would suit you best?1:1 coachingSelf paced programDaily Motivational messages15. Is there anything else we need to know about?Submit
