Coaching Intake Form
This is an application is for any and all coaching to be done with Julia Warner. Please answer as honestly and vulnerably as you can. Your answers will stay in complete confidentiality.
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Email *
First and Last name *
How did you hear of me?
Have you ever received coaching before or been a part of a mastermind. Please explain or give some context.
The following questions are regarding the level of connection, or lack there of, you feel in life. Please provide as in depth as possible, responses to the following areas. Relationship to self, Relationship to Family, Relationship to Friends, Relationship with Work, Romantic Relationship, and Relationship to God or Spirit.
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Do you feel connect/ disconnected in your relationships at work? Please Explain
Do you feel connect/ disconnected in your relationship to yourself? Please Explain
Do you feel connected/ disconnected in your relationship to your family? Please Explain.
Do you feel connected/ disconnected in your relationship with your Romantic Partner? Please Explain.
Do you feel connected/ disconnected in your relationship with God or Spirit? Please Explain.
How would you describe your level of spirituality? What does God mean to you?
Do you feel like you hold yourself back from having the life you truly desire? Please explain
Do you have any addictions that you feel hold you back in life? Please Explain. How impairing would you rate them from 1-10?
What are you working towards right now? What are your biggest dreams and desires?
What is holding you back in these areas and where are you looking for support?
How would you describe your level of vulnerability and transparency? How do you think this affects your life?
How would you describe your level of honesty? How does this affect your life?
What does authenticity mean to you?
Describe the way you want to show up in the world, ideally speaking.
How do you often spend your alone time?
How would you describe your practice of self care? What is it and what does it consist of?
If you had a magic wand you could wave, that would make your life absolutely perfect 3 months from now, what would be different?
What is your biggest wish and desire for the world?
How would you describe your level of self love with your body?
How will you know when you've reached your desired outcome?
What do you do for work?
Are you able to invest financially in a coaching program?
Are you ready to commit to the necessary changes you know in your heart you desire, and are capable of?
Who in your life will benefit as a result of your transformation?
Who not yet in your life will benefit as a result of your transformation?
What is it costing you to continue on the path you are on without changing?
If nothing changes, where will you be in 3 months from now, 6 months, 1 year?
That's all for now. Thank you for your honesty and transparency. I look forward to connecting with you again soon. If you have any other questions please do not hesitate to ask, and if you'd like to sign up for my email list to receive free tips for health, spirituality and more, click the button below.
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