Intake Page

Welcome. We're so glad you're here.

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Name

Phone Number

Current Role(s) or Primary Focus of Your Time

What parts of your background or life story feel important for us to understand as we begin working together?

What motivates you? What brings you energy?

What habits, patterns, or thought processes feel like they may be holding you back right now?

What personality or strengths assessments have you taken?

Are you currently in therapy, spiritual direction, or taking any medications that we should be aware of in order to best support you? (We honor and encourage professional mental health support. Coaching does not replace therapy.)

Is there anything else you’d like us to know as we begin?

What is the primary area you most want to grow or change in this season?

Welcome. We're so glad you're here.

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