Peak Life Now program Application Name * First Name Last Name Email * Phone * (###) ### #### I am interested in: * 6 Month Program 12 Month Program 24 Hour Day Intensive What are some goals you would like to achieve this year that would give you a sense of fulfillment and/or achievement? * How many hours a day do you work? And how many hours a day do you save for yourself? * My gross revenue for the last 30 days was… * A short description of my current business/occupation would be... * Why are you now looking for coaching in personal development? * What is the primary obstacle stopping you from achieving your goals? * The number one reason why it’s crucial for you to solve these problems right now is.. * What have you tried doing in the past to achieve your goals? * What happened with those approaches? * How would you rate your life when it comes to fulfillment and self-love? On a scale from 1-10, 10 being extremely high levels and 1 being bottom of the barrel. * How would you rate yourself when it comes to mindset? * How would you rate yourself when it comes to emotional intelligence? * How would you rate yourself when it comes to setting goals and self-motivation? * If we were to have a conversation one year from now, what would have had to happen in your life personally and professionally for you to feel happy with your progress? * What is your #1 fear (i.e. – fear of failing, fear of rejection, fear of success, etc) slowing you down or stopping you from achieving your goals? * I know that working with Daniel is by application only as he has limited space for his 1:1 coaching program. These are reasons why I think I’d be a great fit to work with him…. * Thank you for taking the time to fill out the application. We will get back to you as soon as we can.
