"Where Are You Now?" Questionnaire– Discover What’s Shaping Your Growth

Rebuild Readiness Scorecard

This quiz will help you pause, reflect, and get a clearer picture of where you're strong, where you feel stuck, and what kind of support might move you forward.

Section 1: Life & Personal Growth Check-In

1. Please briefly describe how you heard about my coaching services and why you would like a Deep Dive Assessment with me: *

3. When things feel off, what do you usually notice first?

I lose focus or get overwhelmed easily.

I feel drained or unmotivated.

I second-guess myself.

I shrink back from speaking up or taking action.

I disconnect from others or shutdown.

Other

4. How often do you feel clear about where you’re going and why it matters to you?

Almost always.

Sometimes.

Rarely.

Section 2: Habits, Performance & Identity

6. Which statement feels most true right now?

I'm growing but feel like I've hit a stuck point.

I have goals but struggle to stay consistent.

I'm just trying to keep up with daily life.

I'm ready to level up and take bold action.

7. How do you usually handle pressure or challenges?

I stay grounded and find ways to move forward.

I tend to react or withdraw.

I push through but burn out later.

I avoid conflict or tough decisions.

8. Do you have systems, habits, or routines that support your personal growth?

Yes, and they're working well.

I have some, but I struggle to stay consistent.

Not really, this is an area I want help with.

9. When you think about leadership or influence, which applies most?

I'm growing in this and want to lead well.

I don't really see myself as a leader (but want to).

I lead others but feel like I'm losing my momentum

I've been avoiding stepping into leadership.

I'm already in a leadership role and feel confident and aligned there.

Section 3: Support & Readiness

10. What kind of support would help you feel more clear, focused, and supported in this season?

Practical tools and structure to keep moving forward.

Space to reset and gain clarity on what's next.

Encouragement and accountability as I grow.

Deeper mindset and emotional work to break through old patterns.

High-level strategy and performance coaching to take what's working and amplify it.

Peer connection and growth alongside others who also want to rise.

Other

11. Have you worked with a coach, mentor, or guide before?

Yes, and it was helpful.

Yes, but it didn't really create change.

No, but I'm curious

No, and I'm unsure if it's for me.

12. If you could shift one thing this month, what would you want to see change or improve?

Section 4: What Kind of Support Fits You Best?

13. What environment do you feel you grow best in?

I like learning and growing alongside others in a supportive group.

I do best with personal, focused 1:1 support.

I'm not sure - I just know I need change.

14. Which of these sounds most like what you’re looking for right now?

A reset - a focused breakthrough to clear the fog and start fresh.

A structured coaching journey to stay consistent and grow in all areas.

A deep transformation - mentally, emotionally, and in how I live day to day.

Section 5: Please rate yourself in the following areas of your life on a scale of 1 (lowest) to 10 (highest):

15. Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in life?

WorstBest

16. Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy?

WorstBest

17. Courage: Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world?

WorstBest

18. Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?

WorstBest

19. Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals?

Worst Best

Thank you for taking the time to reflect with me.

This is where awareness meets action.

Your answers show you’re in a season of growth—and the Assessment is the bridge into real change.

👉🏼 Secure your Deep Dive Assessment Session ($89) now and start your rebuild today.

First Name *

Last Name *

Phone

Email *

I agree to terms & conditions provided by the company. By providing my email and phone number, I agree to receive text messages and emails from the business.

Prefer to Reach Out Directly?

1-431-775-9961

FAQs

Frequently Asked Questions

What services do you offer?

We offer 1:1 coaching, group programs, clarity sessions, and personalized growth plans designed to help you move forward with purpose.

How do I get started?

Fill out this short Coaching Questionnaire. It’ll help you get clear on where you are right now—and help me know how best to support you.

Do you offer virtual sessions?

Yes! All coaching sessions are held virtually via Zoom, so you can join from anywhere in the world.

How often do sessions take place?

Most clients meet weekly or bi-weekly, depending on their goals and coaching plan. We’ll decide what cadence works best for you.

How long is each session?

Sessions typically last 60 minutes, allowing time for deep conversation, reflection, and action planning.

Is coaching confidential?

Absolutely. Everything shared during coaching is kept private and confidential in a safe, judgment-free space.

Do you offer payment plans?

Yes — we offer flexible payment options for coaching packages to make support accessible and stress-free.

What’s your cancellation policy?

We ask for 24-hour notice for any rescheduling. Missed or late-cancelled sessions may be charged depending on your plan.

Let's Get You On The Right Path