*NEW* Coaching Intake Form

Hello Glorious Being ~

I am so excited to begin creating coaching magic together!

Please fill this out in the way that feels best for you. Not all questions are required, and the ones that are required are marked with an asterisk, like this. *

Feel free to email me at ma.george.co@gmail.com with any questions or concerns.

Thank you.
xx MaryAnn

Name*

First NameLast Name

Pronouns (These can change and be updated at any time. Put n/a if you don't use pronouns.)*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Do you consent to being contacted via text?*

YesNoOther

If you experience or have experienced any of the following: bi-polar/manic depression, post-traumatic stress, clinical depression, disordered eating, and/or suicide attempts, let's discuss this on our initial call together. This is important to help both of us determine if this is a good fit at this time, as I am not a trained professional in any of these areas and I want you to have the best care possible.*

I understand

What are three things you most want from our time together?*

What are a few of your biggest strengths? What are you proud of? *

What are the biggest challenges or stressors in your life right now? *

Are there any frameworks for self understanding that you really identify with? For ex: Astrology, Human Design, Myers Briggs, Enneagram, etc.*

Are you currently in any intimate relationships? If so, what is working well? What could use some work or attention?

Do you have children or are you a caregiver? If so, what is working well? What could use some work or attention?

How do you feel about time, timeliness, and schedules? For example, if our session went over by ten minutes, how would that make you feel? *

How do you feel about me calling in guiding spirits and well ancestors to assist us in our work together?*

In a coaching session, do you prefer to be guided, given options, or a mixture of both? How do you feel when given choices during a session?

During our sessions, would you like to focus on one particular area of your life, see what comes up session to session, or do a combination of both?

What can I do that will help you to feel safe and supported in our work together?*

Are there any words or phrases that are triggering for you to hear or require a content warning? For example: in sessions, we sometimes discuss bodies and body parts and certain words can be triggering or upsetting for some folks.

What are your expectations from a professional coaching session?

Is there anything else you would like me to know?

Do you have any questions for me?

Are you open to the session being recorded for my use only? (Notes, tracking our development, possible sound clips to assist with exercises, etc.)*

YesNoOther

If you enjoy our sessions, are you open to writing a testimonial for my website? (This can be done anonymously.)*

YesNoOther

Coachee Intake Form