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Client Intake Questionnaire

Complete our Patreon Client Intake Questionnaire to help us understand your goals and tailor our coaching to your unique needs.

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Question 1 of 21

Which coaching program are you interested in?

A

1:1 Mastery Program (Six 1-hour sessions)

B

1:1 Mastery Program Advanced (Four 2-hour sessions)

Question 2 of 21

What is your full name?

Question 3 of 21

What is your preferred name?

Question 4 of 21

What is your email address?

Question 5 of 21

What time zone are you located in?

Question 6 of 21

Briefly introduce yourself. Tell me about your background, interests, and what led you to seek coaching.

Question 7 of 21

What are your main goals and objectives for seeking coaching? Please list them in order of priority.

Question 8 of 21

What challenges or obstacles are you currently facing in relation to your goals? How are these challenges affecting your progress?

Question 9 of 21

Have you worked with a coach or mentor before? If yes, please briefly describe your experience and what you gained from it.

Question 10 of 21

What specific outcomes do you expect to achieve through coaching? How will you measure the success of our coaching engagement?

Question 11 of 21

How do you best learn and work? Are you more visual, auditory, or hands-on? Do you prefer structured sessions or a more flexible approach?

Question 12 of 21

How much time are you willing to dedicate to coaching sessions and any assigned activities or tasks between sessions?

Question 13 of 21

What days and times are generally most convenient for you to schedule coaching sessions? Please provide multiple options.

Question 14 of 21

How do you prefer to communicate? (Phone, video call, email, messaging, etc.)

Question 15 of 21

How important is confidentiality to you in our coaching relationship? Is there anything specific you want to ensure remains confidential?

Question 16 of 21

How do you usually stay motivated and hold yourself accountable when working towards your goals?

Question 17 of 21

Do you have a support system in place (family, friends, colleagues) that you can rely on during your coaching journey?

Question 18 of 21

Are you committed to investing the time, effort, and resources required to achieve your coaching goals?

Question 19 of 21

Is there anything else you'd like me to know about you, your goals, or your expectations before we begin coaching?

Question 20 of 21

By submitting this questionnaire, you acknowledge that you are ready to commit to the coaching process and are open to growth and change. Do you agree?

Thank you for taking the time to complete this questionnaire.

Your responses will help us create a customized coaching plan that aligns with your goals and aspirations. After reviewing your answers, we will be in touch to schedule an initial consultation to further discuss your coaching journey.

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