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Please select the primary area/s you are seeking to improve right now? *
Personal GrowthCareer / BusinessHealth & WellnessRelationshipsConfidence / MindsetLife Purpose / Direction
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What kind of support do you feel you need most? *
AccountabilityClarity & DirectionConfidence & Mindset ShiftTools & StrategyEmotional Support
Have you worked with a coach, therapist, or mentor before? *
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How committed are you to your personal growth right now? *
Just exploringReady but nervousAll in—I'm ready to invest in myself
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What inspired you to book this discovery call? (What’s happening in your life right now that made you seek support?)
What area of your life feels most out of alignment right now? (You may select more than one)
Personal Growth Career / Business Health & Wellness Relationships Confidence / Mindset Life Purpose / Direction
On a scale of 1–10, how fulfilled do you feel in your life overall right now? (1 = Not fulfilled at all, 10 = Living my best life)
What specific goals would you love to achieve through coaching?
What challenges or limiting beliefs do you feel are holding you back?
Have you worked with a coach, therapist, or mentor before?
Yes No
If yes, what was your experience like?
What would meaningful progress look like for you in the next 90 days?
How committed are you to your personal growth right now?
Just exploring Ready but nervous All in—I’m ready to invest in myself
What kind of support do you feel you need most?
Accountability Clarity & Direction Confidence & Mindset Shift Tools & Strategy Emotional Support
What do you hope to get out of working with a life coach?
What qualities are most important to you in a coach or coaching experience?
How soon are you looking to start your coaching journey?
Immediately Within 2 weeks Next 1–2 months Just exploring for now
Is there anything else you’d like to share before we speak?
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