Welcome — I’m so glad you’re here!

This confidential form helps me understand where you’re starting from, what you want out of our time together, and how I can best support you. You don’t need to have everything figured out — just answer honestly and openly.

BASIC INFO:

Full Name

First Name

Last Name

Preferred Name

Location and/or Time Zone

GETTING TO KNOW YOU

1. What made you sign up for coaching right now?

2. What are the top 1–3 areas you want to focus on in coaching?

3. Where do you typically get stuck, lose momentum, or second-guess yourself?

4. Have you worked with a coach before? If yes, what was helpful (or not helpful)?

HOW YOU WORK BEST

How do you prefer to be supported? (Check all that apply)

Gentle encouragement

Direct feedback / truth-telling

Brainstorming + idea generation

Accountability + follow-through

Other

FINAL THOUGHTS

Anything else you’d like to share before we begin?

What you hope to get out of this time, what you're concerned about, anything we cannot discuss, etc...