Coaching Inquiry Form

Coaching Inquiry Form
Hey there!

First off, congratulations on taking this step. Whether you're ready to scale, feeling totally burnt out, questioning everything, or just ready for a change - you're in the right place. Let's figure out if we're a match made in coaching heaven!

This isn't your typical boring intake form. I want to get to know the real you - both the professional powerhouse and the human who maybe secretly loves dancing to Taylor Swift or Teddy Swims in their kitchen (no judgment, I do too!). Take your time with these questions, be honest (like, brutally honest), and let's see if we're meant to work together.

~ Cecilia 😊
The Basics
Name*

First NameLast Name
Preferred Pronouns
Email*
example@example.com
Phone Number

Area CodePhone Number
Let's connect on LinkedIn!
How did you find me? (Stalking me on LinkedIn counts!)
Let's get real with where you're at
Give me the details of your business - who do you serve, what is your mission, how big is your team, etc?
Why did you start your business? What is your "why"?
What keeps you up at night? What's making you scroll at 2am? (be as specific as possible)
What are your top 3 intentions for your business and yourself in the next 3-6 months?
What are the top 3 roadblocks you're currently facing that you perceive are holding you back from goal?
What solutions have you already tried? (Including that meditation or finance app you downloaded but never opened, other courses and coaching - we've all been there!)
Quick Temperature Check (1 = help!, 5= crushing it):

How I feel about my business:

	1	2	3	4	5

1 is Worst, 5 is Best

Work-life balance (is that even a thing?)

	1	2	3	4	5

1 is Worst, 5 is Best

Energy levels (pre or post-coffee?)

	1	2	3	4	5

1 is Worst, 5 is Best

Relationships (with others and yourself):

	1	2	3	4	5

1 is Worst, 5 is Best

Dream Big with Me
If we were having coffee six months from now, what would you be celebrating? (Dream big, be specific, and yes, manifestation counts!)
What happens if nothing changes? (Be dramatic if you need to - this is a safe space!)
Readiness Check (1= meh, 5= let's do this yesterday!):

Ready to invest in yourself:

	1	2	3	4	5

1 is Meh, 5 is YES!

Ready to challenge those limiting beliefs:

	1	2	3	4	5

1 is Meh, 5 is YES!

Ready to make changes in my business:

	1	2	3	4	5

1 is Meh, 5 is YES!

The Practical Stuff
What is your current annual revenue?*

$0-$50,000$50,000-$100,000$100,000-$199,000$200,000-$499,000$500,000-$800,000$800,000+Other
How much do you want to be making?
What would it mean for you if you reached your revenue goal?
What have you tried in the past to grow your business? Did it work? If not, why?
What drew you to want to work with me, specifically?
Why is NOW the time that makes sense for you to work with a coach and mentor?
Investment expectation:

$1,000$1,000 - $2,000$2,000 - $5,000$5,000+Other
When do you want to start this journey?

ASAP (like yesterday)Soon-ish (this month)Planning ahead (a few months)Just window shoppingOther
What's something you wish I'd asked? Or something random you want to share? (Weird facts welcome!)
What happens Next
Thanks for being so open and real with me! I'll personally review your answers within 1-2 business days. If it feels like we could create magic together, I'll invite you to a Practice Growth Consult call where we can chat more about your goals and how we might work together.

Looking forward to chatting!!! 😊
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Coaching Inquiry Form

The Basics

Let's get real with where you're at

Quick Temperature Check (1 = help!, 5= crushing it):

Dream Big with Me

The Practical Stuff

What happens Next