To achieve success in your life you must desire to be a High Performer

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

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?*
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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?*
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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 other people?*
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Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?*
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Influence: Do you feel you have enough social influence with your family, friends, and team to accomplish your goals?*
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Please answer the following questions:

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

What are your top 3 goals you are striving to achieve right now?*

What major stressful factors or challenges are you struggling with right now?*

¿Cuándo te sientes más feliz y exitoso y qué te hace sentir de esa manera?*

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

What would your dream life look like if you could wave a wand and make it come true?*

What issues have stopped you from having that dream life?*

What goal or dream have you given up on or failed at, and what do you think caused you to stop or fail?*

What 3 big changes would you like to make in your life in the next 12 months?*

What additional message do you want to share?

Your Name*

Your Last Name*

Email*

Country*

Zip code*