[Advice Actually] Coaching Intake Form
Email *
First name *
Last name *
Address
What are you wanting help with? What have you already tried? (Please be specific and detailed.) *
Regarding what you want help with, what would you like to see happen over the next 3 to 6 months to make this a successful experience for you? *
What is your personality like? What kind of coaching style do you prefer: direct / gentle / challenging / etc. ? *
What are you most passionate about right now? *
What major changes have you experienced in the last 2 years? *
What are you tolerating in your life at present? (Examples: clutter, poor lighting, dented car, job dissatisfaction, dead plants, broken equipment, etc.) *
What 5 adjectives would someone use to describe you at your best?
How would they describe you at your worst?
What causes you to feel motivated? *
What is your personal and/or professional vision of where you want to see yourself a year from now? Be as specific as possible and as descriptive as you would like. *
What intentions do you have for your life presently? *
On a scale of 1-10 (10 high), what is the quality of your life today
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