✨ BRAVE SPACES | Client Inquiry Form ✨

Coaching Client Inquiry Form
Hi there! I’m really glad you found your way here. This is a gentle first step for us to begin getting to know each other and to see if working together feels like a good fit.

At Brave Spaces, we offer strengths-based, values-driven coaching grounded in both professional training and lived experience. We don’t ask you to mask, push harder, or power through burnout — instead, we focus on helping you feel seen, gain clarity on your values and wiring, and build ways of living that actually work for you.

You don’t need to have everything figured out to begin. Reaching out can feel vulnerable, and I want to honor that — this is simply a first step toward creating a space where you can show up as you are.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Geographic Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred Method of Contact
Where You're At Right Now
What's feeling the most challenging or stuck for you right now?
What have you already tried - or thought about trying - to support yourself with this?
What kind of support feels like it might help right now?
(For example: talking things through, getting unstuck, building routines, having accountability, understanding yourself better, etc.)
Working Together
What feels important for us to focus on together, if we were to work together?
A year from now, if coaching is successful, what would look different in your life?
Are you currently looking for ongoing support, a short-term container, or not sure yet?
If working together feels like a good fit, when would you ideally want to begin? Do you have general days or times (please provide your timezone) that tend to work best for you?
Your Context

This section is optional, but helps me better understand you and how to support you.
How would you describe yourself or your neurodivergence, if you’d like to share?(Self-identification is welcome—no formal diagnosis needed.)
Is there anything important for me to understand about how your brain, body, or nervous system works?
Have you had support before (coaching, therapy, peer support, etc.)?If yes, what was helpful—or not helpful?
Are there any identities, experiences, or life circumstances that feel important for me to understand?
How did you hear about Brave Spaces or Suzanne's work specifically?
Thank you for taking the time to share this with me — I know it can take energy to put this into words, and I’m really glad you did.

I’ll review your responses and follow up within 5 business days so we can explore next steps together and see if this feels like a good fit.

If it doesn’t feel like the right fit, I’ll let you know and help point you toward other options and resources that may be a better match.

✨ Suzanne
Should be Empty:

Coaching Client Inquiry Form

Where You're At Right Now

Working Together

Your Context