New Client Introduction Form

NEW CLIENT INTRODUCTION FORM

The following questions are intended to help me get to know you and to understand what your goals are for our work together. Your responses to these questions will help guide the initial work so please provide as much information as you feel is relevant.

First Name

Last Name

Phone

Why are you interested in working with a coach?

What would you like to accomplish within the next 30 – 90 days?

If you were to fully live your life from a place of joy, peace and integrity, what is the first change you start to make?

What would taking your life, career, relationship and/or parenting to the next level look like?

What are the biggest challenges or obstacles to having the life, career and/or relationship that is perfect for you?

What do you want more of in your life? What do you want less of?

Do you meditate, pray or engage in any type of spiritual practice? If not, why?

Please complete the following sentences by writing down the first thing that comes to mind. Go for spontaneity, not practicality:

If I had the money I would…