⚠️ Important: Please use the same email address you entered in the previous form. This helps us connect both submissions and confirm your order/payment correctly.
Contact Information (Email, Phone, Preferred method of contact):
Briefly describe your current life situation and any recent major events or changes.
What motivated you to seek out a life coach at this point in your life?
Please list and describe three primary goals you hope to achieve through our coaching relationship.
What challenges or obstacles are currently standing in the way of you reaching these goals?
Have you worked with a coach or therapist before? If yes, please share briefly about that experience. What was helpful, and what was less so?
What are your expectations from this coaching process?
What do you expect from me as your coach?
What kind of support do you find most helpful (e.g., encouragement, accountability, resources, direct feedback)?
What are your preferred days and times for our coaching sessions?
On a scale of 1-10, how would you rate your current stress level?
On a scale of 1-10, how would you rate your current level of satisfaction with your life?
What three words would describe how you feel about your life right now?
Any emotions, any feelings, any thoughts that you aren't able to voice out ... writing it down here would help you process them. And we will use them to measure your emotional state at every session.
I agree to the coaching disclosure and agreement terms. *
I understand coaching is not therapy*
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