Discovery Call & Coaching Readiness Form- With Laurie Dufresne
Welcome!I’m so glad you’re here. This short form will help me get to know you before our Discovery Call. It’s simply a space for reflection... no pressure, no judgment.You’ll share a bit about where you’re at right now, what you’d love to create, and what kind of support you’re looking for. This helps us make the most of our 15-minute call together.Take a few minutes to answer from the heart. Everything you share is confidential and will be used only to guide our conversation.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about me?
Social Media
Referral
Website
Other
Where You Are Now
What inspired you to schedule this call today?
Which area of life are you most focused on improving right now? (Select all that apply)
Time Management & Productivity – Organizing time, achieving goals, and staying focused.
Physical Health & Wellness – Nutrition, weight loss, and healthy habits.
Relationships – Improving communication, romantic relationships, family dynamics, and conflict resolution.
Work-Life Balance – Balancing career, personal life, and self-care.
Mental Health – Including stress management, anxiety reduction, and building resilience.
Emotional Intelligence – Managing emotions, empathy, and self-awareness.
Personal Development – Self-esteem, confidence, motivation, and overcoming limiting beliefs.
Financial Health – Abundance vs. Scarcity
Spiritual Growth – Strengthening faith, mindfulness, and connecting with a higher purpose.
Other
Where do you feel most stuck or uncertain right now?
What do you feel has been holding you back from making the changes you want? Examples: self-doubt, lack of structure, fear of failure, procrastination, past experiences, etc.
What does success or breakthrough look like for you in the next few months?
Readiness & Growth Evaluation
How ready do you feel to make changes in your life right now?
1- Not Ready
2
3
4
5
6
7
8
9
10- Fully Ready
How would you describe your current support system?
I have strong support from family or friends
I have some support, but not consistent
I often feel alone in my journey
Have you worked with a coach or mentor before?
Yes
No
If yes, What was helpful (or not) about that experience?
What kind of support or accountability would help you most right now?
Clear direction and structure
Accountability and encouragement
Deeper emotional or mindset work
Faith-based guidance
Practical action steps
Other
What would you like me to know before our Discovery Call?
Are you open to exploring private coaching sessions if it feels like the right fit?What would best describe you?
Analytical: Research. Difficult to Make Decisions
Dominant: Controlliing, Direct
Supportive: Thoughtful. Empathetic, Put Others First
Influential Promoter: Free Spirited & Fun
Are you open to exploring private coaching sessions if it feels like the right fit?
Yes
No
Have you looked at my workbook or course options? You can find them here before our call:www.lauriedufresnecoaching.com/resources
What kind of people challenge you the most?
What do you do to manage stress?
Current Health Goals
Your health impacts every area of your life — how you think, feel, and show up for your goals.Take a moment to reflect on your current habits and overall wellbeing. This quick check-in will help us identify what’s working well and where we can create positive change.
How would you describe your current health status?
Excellent
Good
Fair
Poor
What are your desired health goals?
Weight Loss
Optimize Healthy Weight Management
Build Muscle / Preserve Muscle Mass
Healthy Mindset
Healthy Habits (Sleep, Hydration, Motion, etc)
Feel Better / Have More Energy
Other
What's going well for you on your health journey? Where would you like to see improvements?
Let's Dream a little..
If you could wave a magic wand & create your picture perfect scenario, what would it look like?
Thank you for sharing! Ready to take the next step? Submit your form now, and let’s start building the path to your success!
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