Discovery Session Intake Form

Discovery Session Intake Form

Seasonal Circles - Group Coaching for Women in Seasonal Transition – Holistic Wellness Membership
Personal Information

Tell us about yourself.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is your current life transition or season? (e.g., career change, motherhood, menopause, relocation, loss, etc.)*
What inspired you to join this seasonal Circle coaching membership?*
What are your intentions or hopes for this season of your life?*
Emotional Well-beingPhysical Well-beingSpiritual Well-beingSelf-Trust & IntuitionSlowing Down & MindfulnessCreativity & Embodied Art PracticesOther
How would you describe your current emotional well-being?
How would you describe your current physical well-being?
How would you describe your current spiritual well-being or connection?
Yes, I'm excited to explore these practices.I'm curious and open to learning more.I'm unsure, but willing to try.No, these approaches are not for me.
Do you have any health conditions, sensitivities, or accessibility needs we should be aware of to support your well-being during sessions?
Is there anything else you'd like to share to help us support your journey?
Thank You for you taking the time to fill out the form. Looking forward to our first session together. Next Step after hitting submit is scheduling your Discovery session.
Should be Empty: