Coaching Partnership Intake
Share your goals, context, and scheduling preferences so Dr. Cherry can prepare for your first session.
Contact & Basics
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
City and State
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Time Zone
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Please Select
Eastern
Central
Mountain
Pacific
Other
Best way to reach you for quick questions
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Text
Email
Both
Your Goals & Focus
What are the top 2-3 outcomes you want from this coaching partnership?
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What does success look like for you at the end of our 90 days together?
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Which of these best describes where you are right now?
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I'm at a decision point and need clarity
I know what I want but keep getting stuck
I'm ready to build and need strategy + accountability
I'm doing okay but know I'm capable of much more
On a scale of 1-10, how stuck do you feel right now?
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Flowing freely
1
2
3
4
5
6
7
8
9
Completely blocked
10
1 is Flowing freely, 10 is Completely blocked
Your Background & Context
Tell me about your current business or work
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What's working well right now that you want to protect or build on?
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What's the biggest challenge or bottleneck in your business right now?
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Have you worked with a coach or consultant before?
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Yes - it was transformational
Yes - it was okay
Yes - it didn't deliver
No - this is my first time
If yes, what worked and what didn't?
Blocks & Patterns
What have you already tried that hasn't moved the needle?
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What fears, doubts, or inner voices show up when you think about these goals?
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Is there anything you're afraid I might ask you to do or give up?
What does "being stuck" look like for you specifically?
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Dreams & Vision
If everything goes exactly right over the next 12 months, describe your life and business. Be specific.
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What would it mean to you personally — not just professionally — to achieve what you’re coming here for?
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Is there a dream that feels almost too big to say out loud? What is it?
Logistics & Scheduling
Preferred session days
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Mondays
Fridays
Both work for me
Preferred time windows in your time zone
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Morning 8am–12pm
Afternoon 12pm–4pm
Evening 4pm–8pm
How comfortable are you with video sessions on Zoom?
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Very comfortable
Somewhat comfortable
I prefer audio only
Is there anything else Dr. Cherry should know before your first session?
How did you hear about Dr. Cherry?
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