• Congratulations. Getting to the root of change starts with taking the first step!  The purpose of this assessment is to guide you in getting a sense of your initial starting point. Your responses will help me see where you are and what areas of life you're looking to create change. All information is confidential. The more I know about you, the more effective and efficient the coaching experience will be.

  • Coaching Assessment |Coach Linda Delia

    This form should take around 15-20 minutes to complete
  • Personal Information

  • We will cc the email address you've provided so you will receive a copy of the email that is being sent to Coach Linda.

  • Current Physical Health Status

    (Pages 2-3 are for clients interested in weight loss or optimal health coaching only) page 2 of 8
  • Overweight - CAUTION you're at high risk to develop cardiovascular disease, heart disease, diabetes, and MORE without intervention. Our program can be lifesaving in helping you with weight loss, weight control, and new healthy habits to help you reach your Optimal Health for the long term.
  • Obese - CAUTION you're at higher risk to develop cardiovascular disease, heart disease, diabetes, and MORE without intervention. Our program can be lifesaving in helping you with weight loss, weight control, and new healthy habits to help you reach your Optimal Health for the long term.
  • DANGER you're at highest risk to develop cardiovascular disease, heart disease, diabetes, and MORE without intervention. Our program can be lifesaving in helping you with weight loss, weight control, and new healthy habits to help you reach your Optimal Health for the long term.
  • CONGRATULATIONS for being at a Healthy Weight. Our program can help you with weight loss (if needed), long-term weight control, and new healthy habits to help you reach your Optimal Health and stay there!
  • Food & Hydration Habits

    (For clients interested in weight loss or optimal health coaching) Page 3 of 8
  • Passions, Play, & Motion

    Page 4 of 8
  • Sleep & Rest

    Page 5 of 8
  • Mindset & Personal Growth

    Page 6 of 8
  • Soul-Care

    Page 7 of 8
  • Healthy Finances

    Page 8 of 8
  • Thank you for sharing your health & life goals with me. Once you hit submit, you will be directed to my online calendar. Please book a time slot to talk about the next steps.

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