Coaching Application

Thank you for considering working together! I'd love to learn more about you and your health goals. Please take a few minutes to fill out this form so I can understand how best to support you and explore if my approach feels right for you. I’ll be in touch shortly once I’ve reviewed your details, to discuss the next steps together.

First Name

Last Name

example@example.com

What would you like support with?

What are your main goals when it comes to your health and wellbeing? Please give as much detail as possible.

Have you worked with a coach before?

Yes

What has your journey toward your goals looked like so far?

Has there been anything that you have found helpful in the past?

What tends to get in the way when you try to reach your goals?

For example motivation, time, accountability, knowledge.

How committed are you to making long term changes for your health and wellbeing at the moment?

Fully ready - I feel ready to make lasting changes to my health and wellbeing.

Somewhat ready - I want to improve, but I may need some guidance or encouragement along the way.

Just exploring - I’m curious about making changes, but I’m not ready to commit fully yet.

What makes this feel like the right time to explore coaching?

There’s no right or wrong answer! I’d simply love to know what’s bringing you here now, so I can support you best.