The Mindfulness Practice Coaching Intake Form
This form is to get to know a little bit more about you, to understand your needs and goals and to get the most out of your discovery call. Fill out as much as you want. Once you are complete I will reach out to you to schedule a discovery call.
Email *
Name  *
Email address *
What type of coaching are you interested to learn more about? Check all that apply
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What are your hopes and goals for coaching sessions?

What do you hope to learn about yourself in coaching sessions?

What’s your typical day like? Are there parts of your daily routine that you want more of or less of?

How do you typically handle emotional and stressful situations? 

What is the gap between where you are now and where you would like to be? 

If you did not have to work for money, what kind of work would you do? Why? 

What motivates you to achieve your goals? 

What prevents you from achieving your goals? 

What values (things that ignite you or light you up) do you want to orient your life around?

What is it that you want more of or less of in your life?

When are you available for a free discovery call?
Monday
Tuesday
Wednesday
Thursday
Friday
Morning (9am-12pm)
Afternoon (12pm-4pm)
Evening (4pm-7pm)
Is there anything you want to add? 
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