Coaching Insight Form

Hello -

I’m excited to kick off our coaching journey together. Before we get started, take a few moments to complete the insight form below. This will help us set the foundation for our work together.

Please be sure to complete at least 48 hours prior to our first session.

Can’t wait to get started!

Julie

Name

First Name

Last Name

Your Pronouns

Birthdate

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Occupation / Job Title

Current Job Level

What made you decide to reach out to a coach now?

What areas would you like to explore while working together?

What might success look like as you make progress in these areas?

If you experienced realistic growth in the next three months, what would that look like for you?

Describe your future self one year from now. What might be different in life and work as a result of working together?

What's been holding you back?

What causes you to feel motivated or engaged?

I am ready to begin working towards the life I want to have

Strongly Disgree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

How will you know that you’re receiving value from working with me?

As an adult, have you worked in a 1:1 relationship (eg: personal trainer, mentor, therapist)?

Yes

What else do you think I should know as we begin to work together?

Coaching Insight Form

Julie Starr Coaching

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