Coaching Intake Questionnaire

Congratulations on taking a very important step in your life, and thank you for the honor of being part of your process!

This questionnaire contains some powerful questions for you to consider before your first coaching session.  This tool is meant to open up your reflection process in preparation for our work together.  It is your tool to use any way you’d like, so please feel free to add any thoughts that come up while you’re working on it.  No need to feel limited to the questions on the page, and you may choose not to answer questions if they don’t feel applicable.

 To make the most of this exercise, I invite you to find 45 min to 1 hour where you can have an appointment with yourself, uninterrupted. Find an environment that is relaxing, pleasing and allows you to be at your best, 100% focused on yourself.  Give yourself the gift of time.  Allow your answers to come from your whole engaged being.

Have fun, and be open to whatever arises as you go through the questions.  I look forward to working with you!

Name *
Moving, career or job changes, relationship changes, changes in health or body, new children, death of loved one, etc.
Examples: clutter, poor lighting, dented car, job dissatisfaction, dead plants, broken equipment, etc.