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1:1 Coaching Intake Form

I’m excited to embark on this transformative journey together! To kick-start our collaboration please answer the questions found in this form. They are a series of powerful questions that will help us dive deep into your goals and current life circumstances.

Think of this as an opportunity to gain clarity, unleash your potential, and make positive changes that align with your true desires. I want to understand what truly lights you up and what areas of your life could use a little extra love and attention. Let’s uncover your strengths, identify any obstacles in your path, and develop strategies tailored to your unique circumstances.

This is your chance to take the reins and create the life you've always envisioned!

Click the button below to start.

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Question 1 of 20

What specific areas of your life would you like to focus on during our coaching sessions?

Question 2 of 20

What are your main goals or aspirations for the next 6 months?

 

Question 3 of 20

How do you envision your ideal life or the best version of yourself?

Question 4 of 20

What challenges or obstacles are currently preventing you from reaching your goals?

Question 5 of 20

What strategies or methods have you tried in the past to overcome these challenges?

Question 6 of 20

How satisfied are you with your current level of fulfillment and success in life?

Question 7 of 20

What areas of your life do you feel most dissatisfied or unfulfilled in?

Question 8 of 20

What values are most important to you? How well do you feel you're living in alignment with these values?

Question 9 of 20

What are your strengths and talents that you would like to leverage more in your life?

Question 10 of 20

How would you describe your current level of self-confidence and self-belief?

Question 11 of 20

Are there any specific changes or improvements you would like to see in your relationships (personal or professional)?

Question 12 of 20

How do you typically respond to stress and adversity?

Question 13 of 20

What does a typical day or week look like for you?

Question 14 of 20

Are there any major life events or transitions that you are currently experiencing or have recently experienced?

Question 15 of 20

How do you feel about your current work or career situation? Are there any changes you would like to make in this area?

Question 16 of 20

What does a healthy work-life balance look like to you?

Question 17 of 20

How do you take care of your physical and mental well-being?

Question 18 of 20

Are there any habits or behaviors that you would like to change or improve upon?

Question 19 of 20

What is your support system like? Who do you turn to for guidance and encouragement?

Question 20 of 20

On a scale of 1-10 (10 being highest) how motivated and committed are you to making positive changes in your life right now?

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Confirm and Submit