Intake Session for New Clients Form

Thank you for taking the time to answer the questions below, it will help me get to know you better and for you to get more clarity on your coaching goal. Please plan to spend about 15-20 minutes completing this form.

When you submit the form I will receive a copy to my inbox and forward a copy to you.

I will invite you to keep a copy of this form, it could be nice to revisit this form in a few months and see how much you have accomplished on your coaching journey and get a new perspective about yourself and your goals.

Noa

Name

First Name

Last Name

Email Address

Phone

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Describe your three greatest accomplishments to date

What made these accomplishments stand out for you?

What are three things you would like to change in your life?

What is important about making these changes?

What’s getting in your way in achieving those goals?

Who are the key supportive people in your life, and what do they provide for you?

What is the greatest challenge you have had to overcome?

What others describe as your top strengths?

If you chose to write a book to inspire others, what would be the title of your book?

On a scale of 1 to 10 (1 being lowest and 10 being the highest), how stressed do you feel right now ?

What are your key stressors?

How will I know as your coach that you are trying to self-sabotage your coaching goals?

Is there anything else I need to know or that is important to share with me?