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Elite Performance Immersion Residency™ Private Consultation Application

Thank you for your interest in the Elite Performance Immersion Residency™. The Residency is designed for individuals who require focused assessment, structured implementation, and direct strategic oversight within an immersive environment. Applications are reviewed individually. Suitability is determined by fit, readiness, objectives, health considerations, logistics, timing, and available capacity. Submitting this form does not guarantee an invitation to consultation or acceptance into the Residency.

Section 1: Personal Information

Full Name

Email Address

Mobile Number

Country of Residence

Current Location

Time Zone

Occupation

Current Role or Position

Organisation or Business Name

Section 2: Current Operating Environment

Briefly describe your current professional and personal operating environment.

What are the primary demands currently competing for your time, energy, and attention?

How would you describe your current level of responsibility?

How would you describe your current level of responsibility?
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E
F

Section 3: Reason for Enquiry

What prompted your interest in the Elite Performance Immersion Residency™?

Where are you currently operating below your expected standard?

What would you like the Residency to help you assess, resolve, or improve?

Which areas require the most attention?

Which areas require the most attention?

What measurable outcomes would you like to achieve over the next 3 to 12 months?

Section 4: Current Performance System

Describe your current training approach.

Describe your current nutrition approach.

Describe your current sleep and recovery practices.

How do you currently plan, track, and review your performance?

Which statement best describes your current situation?

Which statement best describes your current situation?
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B
C
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E
F

Section 5: Residency Readiness

Why do you believe an immersive residency is more appropriate than remote or short-form support?

Are you prepared to operate within a structured environment and follow a defined performance schedule during the Residency?

Are you prepared to operate within a structured environment and follow a defined performance schedule during the Residency?
A
B
C

Are you prepared to adjust existing routines, habits, and operating practices where required?

Are you prepared to adjust existing routines, habits, and operating practices where required?
A
B
C

How soon are you prepared to begin?

How soon are you prepared to begin?
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B
C
D
E

What residency duration are you currently considering?

What residency duration are you currently considering?
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B
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E

What level of support are you seeking?

What level of support are you seeking?

Section 6: Location and Logistics

Where would you prefer the Residency to take place?

Where would you prefer the Residency to take place?
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B
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D

Are you able to travel if required?

Are you able to travel if required?
A
B
C

Are there any travel, accommodation, dietary, accessibility, security, privacy, or scheduling requirements that should be considered?

Will any partner, family member, assistant, security professional, or other support person need to be considered in the planning?

Section 7: Health and Professional Support

Do you currently have any injuries, medical conditions, medications, physical limitations, or other factors that may affect your participation?

Are you currently working with any medical, allied health, performance, or nutrition professionals?

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Section 8: Engagement Fit

Have you previously worked with a coach, consultant, practitioner, performance team, or advisory service?

Have you previously worked with a coach, consultant, practitioner, performance team, or advisory service?
A
B

If yes, briefly describe the support you received and why it ended.

Are you prepared to invest in a private, premium residency engagement if accepted?

Are you prepared to invest in a private, premium residency engagement if accepted?
A
B
C

Who will make the final decision regarding participation?

Who will make the final decision regarding participation?
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B
C
D

Section 9: Final Assessment

Why should Elite Performance Systems™ consider you for the Elite Performance Immersion Residency™?

Is there anything else relevant to your application that has not been covered?

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