FearLess Life Coaching
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New Client Intake Form
This form will provide me with some pertinent information that will help me get to know you better prior to our first session.
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Name
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First
Last
Email
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What led you to hire a coach now?
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Have you received coaching in the past? If yes, please describe your experience
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What are the top three challenges right now that need immediate attention?
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What outcomes would you like to see in three months?
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What are your top five strengths?
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What do you feel most passionate or inspired by?
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What has been one of the biggest challenges you have had to overcome?
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On a scale of 1-10 with 10 being the best, where do you rate your self-care right now?
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Feel free to share anything else you would like me to know before our first session
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