Jess Serrante Coaching- Discovery Form
The purpose of this form is for us to discover the vision and value of what you could attain, out of our working together.

A few guidelines:
- Answer as much or as little as you'd like, and have fun!
- Be as detailed as you'd like, yet don't "stress" about doing this "right."
- Our confidentiality begins now. Nothing is "off limits!" :-)
- If you'd like to save your responses, write in a word processing program and then copy/paste here.

I'm looking forward to seeing how I can best support you!


First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Skype Name
Your answer
Organization (If applicable)
Your answer
Title (If Applicable)
Your answer
Your answer
Your answer
Birthdate (MM/DD/YYYY)
Your answer
What Would You Love?
If nothing were in the way, what is the life and work you would truly love?
Where would you be experiencing extraordinary success, satisfaction, meaning, and fulfillment? What goals and dreams would you be attaining? What difference would you be making in others' lives? What would all this be like for you?
Your answer
What are you most passionate about?
What are the personal passions (for yourself and/or for the world) that drive the ways that you live your life? What is the difference that you would like to make in the world?
Your answer
Where might you be making things harder than they need to be, and at what cost?
What have you been doing or not doing, that isn't in keeping with who you are and the vision you would love? What has it cost you to do it this way? What might it cost you if you continue? What are your most familiar self-limiting "internal conversations" that hold you back?
Your answer
What would be a personal breakthrough so valuable that you would call it priceless?
What might you attain out of this that you otherwise couldn't, which would be worth far more than your investment?
Your answer
If you were to have a priceless personal breakthrough, how would it show up in your actions?
What specific results would show that you got more than your investment out of this?
Your answer
Closing Questions
I'm willing to do what's necessary and invest in myself to get results
Not Now
Yes, I'm in!
What would make this the ideal working relationship for you?
How would I be most effectively supporting you? How would I be interacting with you? What would you be doing to get maximum value out of this?
Your answer
What do you need to clarify to see if this is the right thing at the right time?
(If applicable)
Your answer
What's the most joyous or meaningful experience you've had in recent years?
(This is just for fun)
Your answer
Where did you hear about this?
Specifically, I heard about this from:
(Share the name of the person, organization, event, search engine, listserv, etc who referred you, if applicable)
Your answer
Do you identify in any of these ways?
(This question helps me gauge how effectively my work is reaching a diverse community.)
Anything else you'd like to say?
Is there a question I did not ask, that you'd like to answer? Is there anything else you'd like me to know about you?
Your answer
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