Coaching Intake Form

Preferred Method of Communication:*
Organization (if applicable):
What specific events or experiences led you to seek coaching at this time?*
How would you describe your current personal and professional situation?*
Are there particular challenges or recurring patterns you’ve noticed in your life or work?*
What are the top 3 areas of your life or work where you would like to see change or growth?*
How will you know you’ve achieved success through coaching?*
What is your long-term vision for yourself (personally and professionally)?*
What are your greatest strengths and talents?*
What strategies or habits have worked well for you in the past?*
Who or what are your key sources of support (e.g., family, friends, mentors, colleagues)?*
What obstacles have prevented you from achieving your goals so far?*
How do you typically respond to stress or setbacks?*
Are there any beliefs or behaviors you feel might be holding you back?*
Have you worked with a coach, counselor, or mentor before? If yes, describe your experience:*
How frequently would you like to meet?*
Preferred session length:*
Best days and times for sessions:*
Are there any specific tools, strategies, or resources you’d like to explore during coaching?*
What else would you like me to know about you or your goals?