1-on-1 Session Questionnaire

1-on-1 Session Preparation

Client Intake Form

Thank you for booking your 1-on-1 session with me. I’m so excited to guide you on this journey of transformation, clarity, and healing. To help me tailor our sessions specifically to you and your unique needs, please take a few moments to complete this form. Your responses allow me to prepare fully so we can make the most of our time together.

your Any Partner

Name

First

Last

Email Address

Date of birth

Any health problems? Be specific.

Any wealth problems? Be specific.

Any relationship problems? Be specific.

Partner Name

Partner Date of birth

How is your relationship with your partner?

Give your children’s names and date of birth

How is your relationship which each one of your children?

Mother’s name

Mother’s date of birth

How is your relationship with your mother?

Father’s name

Father’s date of birth

How is your relationship with your father?

What is your religion? What do you believe spiritually speaking?

What is your emotional state of being?

What is your mental state of being?

What is your biggest fear?

What can you not forgive?

What is happiness for you?

How would you describe yourself?

What would you like to get from this coaching program? What would you like to shift or change in your life?

What is your biggest dream for your life?

Step Into Your Healing

Your Personal Guidance Questionnaire

Client Intake Form

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