J Ladner One-on-One Coaching Intake Form
Welcome to the start of something incredible! I’m so excited to learn more about you and help you level up your skills, systems, and success. Please take a moment to fill out this form, so I can customize our coaching experience to fit you perfectly. Let’s get started!
Your Information
Name
First Name
Last Name
Preferred Name/Nickname:(What do you like to be called?)
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram Handle: (I’d love to check out your work!)
Preferred Contact Method:
Email
Text
Instagram DM
Personal Insights
Let’s dive a bit deeper into who you are beyond the chair!
What Are Your Top 3 Values in Life?(E.g., family, creativity, freedom, growth, authenticity, etc.)
What’s One Thing You Love to Do Outside of Work?(Hobbies, passions, or activities you enjoy)
How Do You Usually Start Your Day?
Meditation/Quiet Time
Coffee and Social Media Scroll
Exercise/Movement
Jump Right Into Work
Describe Your Personality in 3 Words:(This helps me understand how to best connect with you)
Business & Experience Overview
Current Role/Position:(Stylist, Salon Owner, Educator, etc.)
Years of Experience in the Industry:
0-3 years
4-7 years
8-12 years
13+ years
Salon/Suite Name:(If applicable)
Describe Your Business Environment:
Commission Salon
Booth Rental
Salon Suite
Independent Stylist
Services You Offer:
How Would You Describe Your Ideal Client?
Coaching Goals & Challenges
What Are Your Top 3 Goals for This Coaching Experience?(Be specific: increasing efficiency, raising prices, mastering techniques, etc.)
What’s Your Biggest Current Challenge Behind the Chair?(Where do you feel stuck or need the most support?)
How Do You Define Success in Your Career?(Share your vision and what success looks like for you)
Describe Your Current Approach to Hair Color Placement:(E.g., foil-heavy, balayage-focused, a mix of techniques, etc.)
What Systems or Strategies Are You Currently Using in Your Business?(Booking, pricing, client communication, etc.)
What’s One Area of Your Business You Feel Most Proud Of?(Let’s celebrate your wins!)
Learning Style & Preferences
How Do You Prefer to Learn?
Hands On
Visual (videos, diagrams)
Written (checklists, guides)
What Type of Feedback Do You Respond Best To?
Direct and Constructive
Encouraging and Supportive
A Mix of Both
Are There Any Specific Techniques or Topics You’d Like to Focus On?(E.g., placement patterns, time management, pricing strategies, etc.)
Personal & Professional Alignment
How Do You Balance Work and Personal Life?(Are you all-in at work, or do you prioritize downtime?)
What’s One Habit You’re Working on Improving Right Now?(This could be related to work, health, or personal growth)
Describe Your Dream Work Day:(From start to finish – how does it look and feel?)
What’s One Thing You Want Me to Know About You That I Wouldn’t Guess From Social Media?(Let’s connect on a deeper level!)
Session Booking & Payment Options
Select Your Preferred Coaching Package:
Adapt & Evolve Session (2 hours) - $350(Ideal for a deep dive into a specific challenge or technique)
4-Session Package - $1,150(For consistent support and long-term growth)
8-Session Package - $2,350(For maximum transformation and implementation of new strategies)
Preferred Day/Time for Sessions:(Select all that apply)
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Payment Options:
Pay in Full
Payment Plan (Available for 4 or 8 Session Packages)(A 50% deposit is required to secure your booking. The remaining balance can be split into monthly payments)
Preferred Payment Method:
Credit Card (via secure payment link)
Zelle
PayPal
Final Details
Is There Anything Else You’d Like Me to Know Before We Start?(Feel free to share any additional information or specific requests)
How Did You Hear About My Coaching Services?
Instagram
Referral
Podcast
Website
Acknowledgement:By submitting this form, you agree to the terms of the coaching package selected and understand the payment options available.
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