Limitless Personal 1:1 VIP Experience Assessment

CONTACT DETAILS

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Cell Phone Number(Required)

Your Occupation(Required)

OPTIONAL DETAILS

Date of Birth

Marital Status

Spouse or Significant Other's Name

Children's Names and Ages

PREVIOUS COACHING EXPERIENCE

Have you worked with a coach before?(Required)

Yes

No

When did you work with a coach and for how long?

How was the Coaching helpful to you?

WORK / LIFE BALANCE

How would you rank your current level of satisfaction with each of the following areas of your life?

Work(Required)

Emotional Health(Required)

Physical Health/Well Being(Required)

Mental Health(Required)

Finances(Required)

Spirituality / Religion(Required)

Relationship with Spouse/Significant Other(Required)

Relationship with Childen(Required)

Relationship with Boss / Co-Workers(Required)

Relationship with Social Network / Friendships(Required)

Self-Confidence / Self-Esteem(Required)

Other

If there is another area in your life you'd like to speak to, please indicate what that is here and how you'd rank it.

SIGNIFICANCE

List Five (5) Adjectives to Best Describe You

What are you like when you are at your best?

What have you always wanted to do in life?

In your opinion, what accomplishment MUST occur during your lifetime so that you will consider your life to have been satisfying and well lived - a life of few or no regrets?

How do you most want to be remembered by those who are closest to you?

If you could devote your life to serving others, and still have the money and lifestyle you want, would you do it? How would it look?

Do you feel there is something missing in your life? What would make your life more fulfilling?

GOALS / INTENTIONS

What are your most important goals for the next 12 months?

What do you feel might be standing in the way of you achieving your dreams/goals?

What do you feel might discourage you or detract from your motivation in achieving your goals?

What goals, aspirations, desires, or intentions do you want to accomplish during the coaching program?

What else would you like Dave to know about you and your current life situation?

How many legs does a dog have?(Required)

(Question asked to foil the bots)

CONTACT DETAILS

OPTIONAL DETAILS

PREVIOUS COACHING EXPERIENCE

WORK / LIFE BALANCE

SIGNIFICANCE

GOALS / INTENTIONS

Email Dave Sanderson - Team Coaching

Email Dave Sanderson - Mastermind

Email Dave Sanderson - Private Mentorship