VISION ACTION RESULTS TONY ROBBINS RESULTS COACHING
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1 VISION ACTION RESULTS TONY ROBBINS RESULTS COACHING Welcome to Tony Robbins Results Coaching program. We are honored to be with you on this exciting journey to peak performance. Please complete this in-depth questionnaire and this back to your coach. This information is imperative for your coach to learn your unique strengths, potential roadblocks and the most effective coaching style to fit your personality before your first session. Name PERSONAL HISTORY Name your three greatest accomplishments in your life to date? What is the hardest thing you have ever had to overcome? Who are (or have been) your major role models? Would you be willing to add some? Why? What major transitions have you had in the past two years? (i.e. approaching a new decade of life, a new relationship, a new job, a new role, a new residence, changes in children s stages of life, separation, divorce, death of a loved one, birth of a child, marriage, etc.) Coaching Questionnaire_for new clients (1).docx Page 1 of 5
2 YOUR LIFE Who are the key people in your life and what do they provide for you? Is your life one of your choosing? If not, which parts are being chosen for you? On a scale of 1 10, 10 = HIGH, provide a number that represents your current level/degree of stress: What are your primary stressors? List five (5) things that you are tolerating in your life at present. (i.e. job dissatisfaction, relationship/family stress, financial stress, low self-esteem, personal limitations, etc ) COACHING YOU What would you expect or like your Coach to do if you get behind on your goals? Coaching Questionnaire_for new clients (1).docx Page 2 of 5
3 How will you know when you are receiving value (i.e. your money s worth) from Coaching? What types of approaches discourage you or take away your motivation? How can your Coach best support you in this relationship? Using each number once, place the following in order of importance. Rank using 1-10 (1= Most Important; 10 = Least Important) Brainstorming Strategies Together Insight into Who You Are and Your Potential Support, Encouragement, Validation Accountability; Checking up on Goals Suggesting or Designing Action Steps Strategic Planning Exploring and Removing Blocks and Obstacles to Your Success Working through Self-Improvement Programs Together Painting a Vision of What You Can Become or Accomplish Directness: Asking Hard Questions; Challenging You to Move Forward POTENTIAL & POSSIBILITY Do you have a personal or professional vision? If so, what is it? What would you like to contribute to the world? Coaching Questionnaire_for new clients (1).docx Page 3 of 5
4 What is a dream or goal you have given up on? What part of yourself, if any, have you given up on? On a scale of 1 to 10 (10= HIGH), rate the quality of your life today: Name: Let Us Know which Tony Robbins Events/Products you have used/attended Tony Robbins live events you have attended (check all that apply and indicate month/year attended) Unleash the Power Within Date With Destiny Strategic Influence Power to Influence Results 2000 The Competitive Edge Business Mastery Life Mastery Wealth Mastery Leadership Academy Skills of Power Financial Power Other Tony Robbins products you have purchased (check all that apply) Tony Robbins Power Talk! Time of Your Life Unlimited Power Get The Edge Personal Power II Unleash the Power Within Coaching Questionnaire_for new clients (1).docx Page 4 of 5
5 Awaken the Giant Within (book/audio) The Body You Deserve Ultimate Relationship Program Robbins-Madanes products: Reclaiming Your True Identity Leadership in Times of Crisis Conquering Overwhelming Loss Inner Balance Products: Life Balance Pack Daily Essentials Pack Living Light Pack Living Health Mastering Influence The Path to Permanent Weight Loss Ultimate Edge Money Masters RPM Binder Creating Lasting Change Pure Energy Greens Other: Coaching Questionnaire_for new clients (1).docx Page 5 of 5
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