PRE-SESSION STRATEGIC DIAGNOSIS FORM

Strategic Personal Growth & Leadership

Estimated Time: 8 to 12 minutes

Your answers are mandatory and will be used to personalize your Strategic Diagnosis Session and accelerate your results.
Answer with precision and honesty.

PERSONAL INFORMATION

First Name *

Last Name *

Phone *

Email *

Date of birth *

City *

Country *

Profession / Field of Work *

Instagram (optional)

WhatsApp (with country code) *

CURRENT DIRECTION

1 - What is your main personal or professional objective right now? *

2 - Why is this objective important to you at this moment? *

3 - If you achieved this objective within 6 to 12 months, what would change in your life and work? *

4 - What have you already tried to reach this goal? What were the results? *

Other:

6 - Which external factors most interfere with your execution? *

7 - On a scale from 0 to 10, how much control do you feel you currently have over your life? *

MINDSET & EXECUTION

8 - Have you ever worked with coaching, therapy, or personal development programs before? What was your experience? *

Other:

11 - What do you feel you are truly ready to change right now? *

12 - How do you usually respond under pressure or challenge? *

I avoid confrontation

I freeze but try to act later

I face it with courage

I take immediate action

13 - In one word, how would you describe your current phase of life? *

14 - If you received absolute clarity and a concrete plan for your next step, what would that step be? *

15 - What matters most to you in life today? *

17 - What inspires you? Where do you find internal drive when things feel difficult? *

18 - What do you expect to achieve through this Strategic Growth Process? *

19 - Are you willing to commit to consistent and practical changes over the next weeks? *

20 - Do you have any scheduling limitations for your sessions? Note: Sessions are not scheduled on Fridays, weekends, or holidays. *

21 - Is there anything important you would like me to know before our first Strategic Diagnosis Session? *

Which program are you applying for? *

Clarity Accelerator

Strategic Performance Program

High-Performance Leadership Mastery

Thank you for answering with honesty.
Your Strategic Diagnosis Session will be built based on what you shared here.
This process is structured, direct, and focused on real execution.