1.What is your full name and social media handles?

2.What email address can I reach you at?

3.What do you do for work?

4.How did you find out about me?

5.Have you had 1:1 coaching before?

6.What do you want to get out of this coaching experience?

7.What is happening in your life right now that you would like to see change for the better?

8.How would you describe your current state of health and wellbeing or your relationship with your holistic health?

9.Check the box that fits how committed you are to this process, and to implementing necessary changes into your life.

Not committed. This isn't the right time and fit for me.

I want to think I can do this, but I don't think it would be a priority in my life right now. I'll reconsider this at another time. 

Committed. I'm a little nervous to make changes, but I know I'm capable and ready to overcome any obstacles that are in my way in order to achieve my goals.

Extremely committed. I know I can and will accomplish my goals with the help of an accountability partner. The time is now.

10.Do you have the financial resources to invest in yourself?

Yes

No

Unsure, but I will find a way