First Name *

Last Name *

Email *

1. What do you do professionally, and what would you like me to know about your life right now? *

2. What is the main challenge you’d like us to explore? If possible, share a recent example of how it shows up. *

3. What have you already tried, and where do you find yourself getting stuck again? *

4. How is this affecting your work, relationships, or experience of daily life? *

5. If this began to change, what would become possible for you over the next six months? *

6. If we both feel coaching is a good fit, how ready are you to invest time, energy, and money in working together? *