Thank you for scheduling your Free Introductory Session with Dr. Reva.

This form helps us prepare for your session so that your time is meaningful, Spirit-led, and focused on your unique needs. Please answer as openly and honestly as possible.

During this session, we will focus on understanding your current situation, your goals, and how I can support you. This is not a deep coaching session, but a starting point to see if life coaching is something you would like to pursue.

First Name

Last Name

Email *

Spiritual Journey

1. How would you describe your current relationship with God?

2. Are you connected to a local church or faith community?

3. What spiritual disciplines are currently a part of your life (e.g., prayer, fasting, Bible study, worship)?

Current Challenges

4. What are the top 1–2 challenges you’re facing right now that you’d like help getting to the root of?

5. Have you previously worked with a life coach, counselor, or therapist? If yes, briefly share what that experience was like.

Readiness for Change

6. How ready do you feel to make changes in this season of your life?

7. Are you open to exploring past experiences (childhood, past hurts, patterns) if it may uncover hidden roots?

8. What is one breakthrough or change you desire most in this season?

9. If this session feels aligned, are you open to investing in coaching support moving forward?

Expectations & Goals

10. What would make this session feel valuable and worthwhile for you?

11. What have you already tried to resolve this, and what has or hasn’t worked?

Confidentiality & Agreement

All responses are confidential and used only to prepare for your session. This is not therapy or counseling, but Christian life coaching focused on personal and spiritual growth.

I acknowledge that I have answered these questions truthfully and understand the role of coaching.