Choice Moment Coaching Application
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WELCOME to CHOICE MOMENT COACHING from CHOOSE LOVE!
Truly, the fastest path your NEXT LEVEL as a CHOOSE LOVE EDUCATOR is through coaching!

Participation in CHOICE MOMENT COACHING will:
1. Give you a PLAN, a PATH, and a new PERSPECTIVE so that you can reach your next level as a Choose Love Practitioner, as an Educator, and as a human being!
2. Create new, exciting, and innovative possibilities for you and for your classroom and school
3. Increase your INFLUENCE as an educator and help you TRANSFORM your students' lives
4. Show you how you can POWERFULLY write the future... TODAY!

Simply fill out this application, and we'll be back in touch with you!
On the following questions, rate yourself from 1 (low) to 10 (high) on how much you agree with the statement

GRATITUDE:

Do you consistently experience feelings of deep gratitude for your life, relationships, and work?  Do you intentionally exhibit gratitude to others and yourself?

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Low
High

FORGIVENESS:

Do you identify as a forgiving person?  Do you have grudges or perceived slights that occurred over a year ago that still affect you today?

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Low
High

COMPASSION:

Do you experience feelings of empathy regularly?  Do you take actions on a regular basis to ease the suffering of others?

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Low
High

COURAGE:

Do you take action and consistently express who you truly are and what you truly think,

need, and desire with the world?

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Low
High

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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Low
High

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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Low
High

PRODUCTIVITY:

 

Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities?

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Low
High

INFLUENCE:

 

Do you feel you have the social influence with your family, friends, students, and team needed to accomplish your goals?

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Low
High
Your Life and Your Work With Students

What is your current position, and why did you choose to work in education?  (If you are not in the field of education, what is your job and why did you choose it?)

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

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What major stressors are you struggling with right now?

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

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What goal or dream have you given up on, and what do you believe caused you to stop or fail?

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What 2 big changes would you like to see in your work with students in the next 12 months?

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What are you most proud of and excited about in your life?

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High Performance Questions

What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident and successful?

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What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically?

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What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently?

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If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving?

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When do you struggle to be fully present in your day or in any of your relationships?

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How purposeful do you feel in living each day, and how would you describe your purpose?

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The Final Questions (you made it!)

Why would you like to work with a Choice Moment coach?

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Why do you feel like you would be a great learner if we worked together?

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