Client Prep Form

I’m looking forward to our journey together! Please take a few minutes to tell me about your wildest dreams, biggest roadblocks and overall vision so we can jump right in at our first session.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

In 1-3 paragraphs, describe your dream or vision for your life (even if you don't believe it's possible or know how you will make it happen). Include any details that are important to you, regardless of how small they seem. If you "don't know" what your dream is, tell me anything you DO know about what you want to create in your life.

What are the top 3 most important, specific outcomes you wish to get from our work together?

What are the main challenges or obstacles that you think have kept you from achieving those outcomes up until this point?

Taking care of yourself is an important foundation for any growth and development. If you were to magically become fully nourished and have your cup all the way full, what would that look like for you?

When it comes to your well-being and self-care routines, what are your current strengths, supports, and resources that feel sufficiently available?

What are your current well-being and self-care challenges?

Is there anything else you want me to know before we dive in?