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Work With Dax: Private Coaching Application

This application is for people who are already successful by most conventional measures, but know that something about the way they’re living, leading or operating no longer feels right.

You may be facing a specific decision, transition or challenge. You may have achieved what you once wanted and discovered that it doesn’t feel the way you expected. Or you may simply know that the person you’ve become, the life you’ve created and the future you’re moving towards no longer fit together as cleanly as they should.

This isn’t an application for a specific programme or predetermined form of coaching. Your answers will help me decide whether what you’re experiencing sits within my expertise, whether I believe I can genuinely help, whether we’re likely to work well together and whether further exploration would be valuable.

My work is based on identity and standards. So I won’t only look at what you’re doing or what result you want. I’ll also look at who you’ve become while creating and maintaining your current life, what you’ve normalised or tolerated and where your behaviour no longer reflects what you believe, value or want.

You don’t need to impress me. Truthful, specific answers will help me understand what’s really happening.

A polished application isn’t necessarily a useful one.

An honest one is.

About You

1. What’s your full name? *

2. What’s your email address? *

3. Where are you based? *

4. What do you currently do? *Describe your role, business, career or principal responsibilities in whatever way makes most sense.

5. Is there a website, profile or other page that would help me understand more about you or your work?

What’s Happening

6. What led you to complete this application NOW? *You don’t need to tell me your entire life story. Begin with what’s happening that made this conversation feel necessary or worthwhile.

7. What’s working well in your life that you genuinely value and want to preserve? *

8. What looks successful, settled or satisfying from the outside, but doesn’t feel that way from the inside? *

9. What effects are you currently experiencing? *Describe what you’re actually noticing in your thoughts, emotions, behaviour, work, health, relationships or enjoyment of life.

10. When and where do you notice these effects most strongly? *

11. How long has this been happening, and has anything recently made it harder to ignore? *

12. What do you currently believe is causing it, and what makes you believe that? *

13. What have you already tried to change, resolve or understand? *What helped, what didn’t and what kept returning?

Identity and Standards

14. Where do you experience the greatest gap between the person you believe yourself to be and the way you’re actually living? *

15. What are you currently tolerating that you know no longer meets your standards? *This might relate to your work, health, relationships, environment, behaviour or use of time.

16. Who have you had to become to create and maintain your current life? *Which parts of that identity still serve you, and which now cost more than they contribute?

17. If a camera followed you for an ordinary week, what would it conclude matters most to you based on where your time, attention and energy actually go? *How different would that be from what you SAY matters most?

18. Where are you performing a role, meeting an expectation or protecting an image that no longer feels completely true? *

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These questions aren’t intended to expose the deepest cause through a form. They help me see whether the life you’re living, the standards you hold and the person you believe yourself to be have moved out of alignment.

Responsibility and Cost

19. Who else is affected by the way you’re currently living or operating, and how? *

20. What responsibilities, commitments or relationships meaningfully affect the choices available to you? *

21. Where do you believe you need to take greater responsibility for your current situation? *

22. What is the situation currently costing you? *Consider time, energy, health, presence, relationships, freedom, enjoyment and opportunity.

What You Want

23. What would you most like to change during the next 12 months? *

24. If that change happened, what would become observably different in your decisions, behaviour, relationships, working life and experience of yourself? *

25. Why does this matter now? *What has made continuing as you are less acceptable than it was before?

Readiness and Fit

26. Are you ready, willing and practically able to make meaningful changes now? *YesI believe so, but I have concernsNot immediatelyI’m mainly trying to understand my options

27. What might prevent you from acting, even if we both believed the work was right for you? *

28. Does anyone else need to be involved in a decision to begin this work? *No, the decision is mineI’d discuss it with my partner or familyAnother person or organisation would be involvedI’m not sure

29. If someone else is involved, what would need to happen before you could make a decision? *

30. What do you need from a coach for the relationship to be genuinely valuable, and what would make it unsuccessful or unacceptable to you? *

31. Why are you interested in working with me specifically? *

Next Steps?

32. Private coaching requires a significant investment of time, energy, attention and money. Which best describes your current position? *I’m able and prepared to invest if the work is rightI could invest, but I’d need to consider the structure carefullyI’d need time to create the financial capacityI’m not currently in a position to make a significant investmentI don’t yet know what level of investment I’d consider appropriate

33. How would you prefer me to contact you if I believe further exploration would be valuable? *WhatsAppEmailFacebook Messenger

34. WhatsApp number, including country code *

35. Facebook profile link *

36. Is there anything important that these questions haven’t allowed you to explain?