Peak Performance Assessment Survey

Question Title

* 1. I focus my full attention and ignore distractions when I am working towards my goals.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 2. I have positive thoughts and engage in positive self-talk when I am working on my goals.

Always

Usually

Sometimes

Rarely

Never

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* 3. I view difficult situations as challenging and maintain a positive perspective when engaging in performance related activities.

Always

Usually

Sometimes

Rarely

Never

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* 4. I am highly confident in my abilities to succeed with my goals.

Never

Rarely

Sometimes

Usually

Always

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* 5. I am fully in control of my emotions when I am working toward goals.

Always

Usually

Sometimes

Rarely

Never

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* 6. I am determined to follow-through on commitments I make with regards to my goals.

Never

Rarely

Sometimes

Usually

Always

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* 7. I have identified my purpose and passions based upon what I want out of life.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 8. I have clarity about who I am and where I would like to go in life and work.

Always

Usually

Sometimes

Rarely

Never

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* 9. I have built a roadmap which includes my vision, building upon strengths while reducing what gets in the way.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Question Title

* 10. I am aware of the thoughts, behaviors and feelings that impact my vision of who I want to be.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 11. I have identified the internal and external challenges that impact my vision for the future.

Never

Rarely

Sometimes

Usually

Always

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* 12. I have supportive people and resources available to help me reach my goals.

Always

Usually

Sometimes

Rarely

Never

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* 13. I seek multiple sources of information, data, and/or opinions before I interpret the meaning of something important.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 14. I have learned how to make actions seem effortless in pursuit of my goals.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 15. I consciously experiment to move beyond my comfort zone when reaching for my goals.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 16. I make progress daily towards goals by using a tracking process.

Always

Usually

Sometimes

Rarely

Never

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* 17. I have the autonomy, passion and competence to achieve the goals that I set for myself.

Never

Rarely

Sometimes

Usually

Always

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* 18. I reflect daily on what went well and what I would like to change with regards to my performance.

Always

Usually

Sometimes

Rarely

Never

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* 19. I am consciously aware of how my thinking affects my performance.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 20. I know how to leverage emotions and storytelling to maximize my performance.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 21. I recognize when something is noise and know how to manage it.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 22. I recognize the emotional and mental triggers that take me off course.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 23. I respond to experiences with high emotional agility.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 24. I change or control my thoughts to help me perform to my potential.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 25. I am fully committed to my goals.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 26. I have clear and specific goals that challenge me to move beyond my comfort zone.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 27. I have meaningful goals which were chosen by me.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Question Title

* 28. I have the capabilities and motivation to achieve my goals.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 29. I receive reliable feedback from trusted individuals who support achievement of my goals.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 30. I use milestones as a way for me to track my progress on goals on a regular basis.

Always

Usually

Sometimes

Rarely

Never

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* 31. I know which habits I have developed that lead to my peak performance.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 32. I am aware of cues and triggers of habits that might distract me from peak performance.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 33. I habit stack (combining two positive habits at one time) to reach greater success with my goals.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 34. I have or am in the process of eliminating habits that are either neutral or negatively impacting my success.

Always

Usually

Sometimes

Rarely

Never

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* 35. When building new habits I break the behaviors down into smaller actions so that I can meet my goals.

Always

Usually

Sometimes

Rarely

Never

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* 36. When my habits include other people, I share my intentions with those who can support my success.

Always

Usually

Sometimes

Rarely

Never

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* 37. I have a top level priority goal that drives all of my behaviors.

Strongly agree

Agree

Somewhat agree

Neither agree nor disagree

Somewhat disagree

Disagree

Strongly disagree

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* 38. I practice and perfect behaviors that lead to success with my goals.

Always

Usually

Sometimes

Rarely

Never

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* 39. I reflect upon and observe my behaviors prior to, while performing and after performance to accelerate success with goals.

Always

Usually

Sometimes

Rarely

Never

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* 40. When I want to give in, I push myself to do 5% more.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 41. I invest in my passions and interests on a daily basis.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 42. I consistently seek out ways to get better.

Always

Usually

Sometimes

Rarely

Never

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* 43. I have consistent physical energy based upon getting 7-8 hours of sleep, healthy eating and exercise.

Always

Usually

Sometimes

Rarely

Never

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* 44. I predominantly live in opportunistic mindsets.

Always

Usually

Sometimes

Rarely

Never

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* 45. I have a wide range of tools to use for reducing stress.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 46. I am able to focus my energy to achieve goals.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 47. Knowing what matters most to me helps me to direct my energy into what matters most.

Always

Usually

Sometimes

Rarely

Never

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* 48. I recognize when my energy is low and distracting me from my goals and take action to increase it.

Always

Usually

Sometimes

Rarely

Never

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* 49. I have family and friends who I connect with frequently for support.

Always

Usually

Sometimes

Rarely

Never

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* 50. The meaning I give to events in my life helps me to stay focused on goals.

Always

Usually

Sometimes

Rarely

Never

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* 51. I practice acceptance and tolerance with events in my life that do not go the way I want them to.

Always

Usually

Sometimes

Rarely

Never

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* 52. My positive perspective about life allows me to shift easily from a negative to a positive mindset when experiencing adverse events.

Never

Rarely

Sometimes

Usually

Always

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* 53. I learn and grow from adverse events happening in my life.

Always

Usually

Sometimes

Rarely

Never

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* 54. Because I have experienced adversity at some time in my life, I am confident that I can overcome adversity in the future.

Always

Usually

Sometimes

Rarely

Never

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* 55. I use countering messages to maintain focus and avoid falling back into behaviors that do not lead to peak performance.

Always

Usually

Sometimes

Rarely

Never

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* 56. I create backup plans for when I begin to slip back into nonproductive behaviors.

Always

Usually

Sometimes

Rarely

Never

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* 57. I have an on-going plan for sustaining my commitments to peak performance.

Never

Rarely

Sometimes

Usually

Always

Question Title

* 58. I celebrate milestones and successes.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 59. I know which peak performance behaviors will need a lifetime of monitoring.

Always

Usually

Sometimes

Rarely

Never

Question Title

* 60. I offer to help and support others in their peak performance goals.

Always

Usually

Sometimes

Rarely

Never