Book Authoring Coaching Intake Form

Released Expressions Author Coaching Intake & Discovery

There are 2 sections to this form. Please allow 10-15 minutes to complete the entire form. The questions will assist you in gaining clarity to help make sure you get the most out of your coaching and provide us clear points of access to co-design your coaching plan. It is preferable to go through this in a quiet and peaceful setting free of distractions and interruptions.
Section A: Personal File Data
Full Name

First NameLast Name
Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Preferred Method of Contact

Availability for Coaching

Rows	Mon	Tues	Wed	Thurs	Fri	Sat
AM
PM

Who introduced you / How did you find out about us?
Here are some ways our coaching clients win by working with Released Expressions. Please check all the ones that appeal most to you:

Section B: Coaching Expectations:

14 Questions to help you get clear about what you want to make sure you get from your coaching engagement.
1. Have you written a book before? If yes, provide the following details (title, genre, publication date). If no, simple write N/A.
2. What inspired you to write this book? (speak to the book you wrote and/or the one you are now writing)
3. What are the three biggest challenges you are currently facing and need to achieve success?
4. What are the three biggest changes you must experience or objectives you must achieve during the 90 days?
5. What do you hope to achieve with this book? (e.g., personal fulfillment, commercial success, sharing knowledge, etc.)?
6. What is the ONE THING you most want to achieve as a result of our coaching?
7. Do you have a specific deadline or timeline for completing your book?
8. What are your top three goals for our coaching/mentoring relationship over the next six months?
9. What would you like me to do if you get behind on your goals?
10. How will you know when you are receiving value from our coaching partnership?
11. Are there any specific resources or services you think you might need
12. Is there anything else you would like me to know about you or your project that would help me better assist you?
Congratulations on completing this discovery process and completing your coaching intake form. It will provide us a great foundation on which to continue to build your success. Be sure to click the green button below to submit your intake.
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Released Expressions Author Coaching Intake & Discovery

Section A: Personal File Data

Section B: Coaching Expectations: