First Name
Last Name
Preferred Name
Phone Number
Email Address
LinkedIn Profile URL (if applicable)
Date of Birth
Gender
Current Location
City
State/Province
Postal/Zip Code
Current Job Title
Current Company
Industry
Years of Experience in Current Field
What are your primary responsibilities in your current role?
Are you currently employed?
If no, when was your last employment?
On a scale of 1-10, how satisfied are you with your current career situation? (1 = Very Dissatisfied, 10 = Very Satisfied)
What are the biggest challenges you are currently facing in your career?
What are your short-term career goals (within 1 year)?
What are your long-term career goals (3-5 years)?
What industries or roles are you interested in exploring?
What skills or areas do you want to develop?
What does your ideal work environment look like?
What are your top 3 career values?
Work-life balance
Financial security
Personal growth
Other:
Please indicate which coaching services you are interested in.
Individual Coaching
Career Exploration and Discovery
Job Search Strategy and Execution
Resume and Cover Letter Optimization
Interview Preparation and Practice
Professional Branding and Networking
Career Transition and Change Management
Leadership Development
Salary Negotiation
Personal Branding
Executive Coaching
Other:
Group Coaching
Job Search Accelerator Group
Career Transition Group
Leadership Development Group
Networking Skills Group
Other:
Workshops/Seminars
Resume Writing Workshop
Interview Skills Workshop
LinkedIn Optimization Workshop
Career Planning Workshop
Other:
Assessment Tools
StrengthsFinder Assessment
Myers-Briggs Type Indicator (MBTI)
DISC Assessment
Other:
Are you committed to dedicating time and effort to your career development?
Are you open to receiving feedback and implementing suggested changes?
Do you prefer personalized one on one interactions?
Do you have specific career goals that require individual attention?
What is your preferred coaching style?
Directive
Collaborative
Supportive
Other:
Are you comfortable sharing your experiences and goals with a group?
Do you learn well from the experiences of others?
Do you enjoy collaborative learning?
Are you able to commit to regular group sessions?
Do you feel you would benefit from peer support and accountability?
Are you looking for focused, skill-based training?
Do you prefer a structured learning environment?
Are you looking for a more cost effective way to obtain information?
Do you prefer a more time compressed learning experience?
Are you interested in gaining deeper insights into your strengths and personality?
Are you open to using assessment results to inform your career decisions?
Do you prefer data driven results?
What is your preferred method of communication?
Phone
Video Call
Other:
What are your preferred days for coaching sessions?
What are your preferred times for coaching sessions?
What is your budget for career coaching services?
Is there anything else you would like to share about your career goals or challenges?
Are there any specific questions you have for me?
I understand that career coaching is a collaborative process and that my success depends on my commitment and effort.
I agree to provide honest and accurate information during coaching sessions.
I understand that all information shared with the coach will be kept confidential, except as required by law.
I understand that coaching is not therapy, and that if I am in need of mental health services, that I will seek them from a licensed professional.
Signature
Thank you for completing this form. I look forward to working with you on your career journey!
Form Template Insight
Please remove this form template insight section before publishing.
Let's break down this Career Coaching Client Intake Form section by section, providing detailed insights into its purpose and effectiveness:
I. Personal Information:
Purpose:
Effectiveness:
II. Current Career Situation:
Purpose:
Effectiveness:
III. Career Goals and Aspirations:
Purpose:
Effectiveness:
IV. Coaching Services of Interest:
Purpose:
Effectiveness:
Detailed Breakdown of Service Options:
V. Suitability for Services (Client Questions):
Purpose:
Effectiveness:
VI. Logistics and Availability:
Purpose:
Effectiveness:
VII. Additional Information:
Purpose:
Effectiveness:
VIII. Client Agreement and Consent:
Purpose:
Effectiveness:
Overall Effectiveness:
By using this form, a career coach can effectively gather the necessary information to understand their clients' needs, assess their suitability for various services, and establish a strong foundation for a successful coaching relationship.
To configure an element, select it on the form.