Personal Growth Coaching Form

Welcome to [Your Coaching Business Name]! This intake form is designed to help us understand your needs, goals, and preferences so we can tailor our coaching services to best support you. Please take your time to complete this form thoroughly. All information provided will be kept confidential.

Personal Information

First Name

Last Name

Preferred Name

Contact Information

Phone Number

Email Address

Mailing Address

City

State/Province

Postal/Zip Code


Date of Birth

Emergency Contact

First Name

Last Name


Phone Number

Relationship

Coaching Preferences

Type of Coaching (Check all that apply):

Preferred Format:

Frequency of Sessions:

Session Duration:

Preferred Days/Times for Sessions:

Goals and Expectations

What are your primary goals for coaching? (Check all that apply):

Please describe your goals in more detail:

What do you hope to achieve by the end of our coaching engagement?

What challenges or obstacles do you currently face that may hinder your progress?

How do you prefer to measure success?

Suitability and Readiness

Have you worked with a coach before?

What motivates you to seek coaching at this time?

On a scale of 1-10, how committed are you to making changes in your life?

What is your preferred learning style?

Do you have any concerns or reservations about coaching?

Are there any specific cultural, religious, or personal considerations we should be aware of?

Health and Well-being

How would you describe your current level of stress?

Do you have any health conditions or concerns that may impact your coaching experience?

Are you currently receiving any form of therapy or counseling?

Do you have any dietary restrictions or preferences we should be aware of?

Additional Information

Is there anything else you would like us to know about you?

How did you hear about us?

Consent and Agreement

I understand that coaching is a collaborative process, and my success depends on my active participation and commitment.

I understand that coaching is not a substitute for therapy, counseling, or medical advice.

I agree to the terms and conditions outlined in the coaching agreement.

I give permission for my coach to contact me via the provided contact information.

Client Signature:


Client Intake Form Insights

Please remove this client intake form insights section before publishing.


Below is a detailed breakdown of the Personal Growth Coaching Form, explaining the purpose and importance of each section and question. This form is designed to gather comprehensive information about the client, their goals, preferences, and readiness for coaching, ensuring a tailored and effective coaching experience.

Section 1: Personal Information

This section collects basic demographic and contact details to establish clear communication and ensure the coach can reach the client when needed.

  1. Full Name & Preferred Name:
    Captures the client’s legal name and any preferred name they use, ensuring the coach addresses them appropriately.
  2. Contact Information:
    Essential for scheduling sessions, sending reminders, and maintaining communication.
    Includes phone, email, and address for flexibility.
  3. Date of Birth:
    Helps the coach understand the client’s life stage, which may influence their goals and challenges.
  4. Emergency Contact:
    Provides a safety net in case of emergencies during in-person sessions or if the client becomes unresponsive.

Section 2: Coaching Preferences

This section helps the coach understand the client’s expectations and preferences for the coaching process.

  1. Type of Coaching:
    Identifies the specific area(s) of focus (e.g., career, life, wellness) to align the coaching approach with the client’s needs.
  2. Preferred Format:
    Determines whether the client prefers in-person, virtual, or hybrid sessions, ensuring convenience and comfort.
  3. Frequency and Duration of Sessions:
    Helps structure the coaching plan by understanding how often and how long the client wants to engage.
  4. Preferred Days/Times:
    Ensures sessions are scheduled at times that work best for the client, increasing commitment and consistency.

Section 3: Goals and Expectations

This section is the heart of the intake form, as it clarifies what the client hopes to achieve through coaching.

  1. Primary Goals:
    Provides a broad overview of the client’s objectives, helping the coach tailor the program to their needs.
  2. Detailed Description of Goals:
    Encourages the client to articulate their goals in their own words, offering deeper insight into their motivations.
  3. Desired Outcomes:
    Helps the coach understand the client’s vision of success and what they hope to accomplish by the end of the coaching engagement.
  4. Challenges/Obstacles:
    Identifies potential barriers to progress, allowing the coach to develop strategies to overcome them.
  5. Measurement of Success:
    Clarifies how the client defines success, ensuring the coaching process is results-oriented.

Section 4: Suitability and Readiness

This section assesses whether the client is a good fit for coaching and their level of commitment.

  1. Previous Coaching Experience:
    Provides context about the client’s familiarity with coaching and their expectations based on past experiences.
  2. Motivation for Seeking Coaching:
    Explores the client’s reasons for starting coaching, helping the coach understand their urgency and commitment.
  3. Commitment Level:
    Gauges the client’s readiness to take action and make changes, which is critical for coaching success.
  4. Learning Style:
    Helps the coach adapt their communication and coaching methods to suit the client’s preferences.
  5. Concerns or Reservations:
    Addresses any doubts or fears the client may have, allowing the coach to build trust and address potential roadblocks.
  6. Cultural/Personal Considerations:
    Ensures the coach is aware of any sensitivities or preferences that may impact the coaching relationship.

Section 5: Health and Well-being

This section ensures the coach is aware of any factors that may affect the client’s ability to fully engage in coaching.

  1. Stress Level:
    Provides insight into the client’s current emotional state, which may influence their readiness for coaching.
  2. Health Conditions:
    Identifies any physical or mental health issues that may require special consideration or referral to a healthcare professional.
  3. Therapy/Counseling:
    Determines if the client is receiving other forms of support, ensuring coaching complements rather than conflicts with their care.
  4. Dietary Restrictions:
    Relevant if coaching includes wellness or nutrition components, or if sessions involve food (e.g., in-person meetings).

Section 6: Additional Information

This open-ended section allows the client to share anything else they feel is important.

  1. Anything Else to Share:
    Provides space for the client to express unique concerns, preferences, or information not covered elsewhere.
  2. How They Heard About the Coach:
    Helps the coach understand which marketing channels are most effective and build rapport by acknowledging referrals.

Section 7: Consent and Agreement

This section ensures the client understands the nature of coaching and agrees to the terms of engagement.

  1. Understanding of Coaching:
    Confirms the client recognizes that coaching requires their active participation and is distinct from therapy or medical advice.
  2. Agreement to Terms:
    Establishes a formal agreement between the client and coach, setting clear expectations for the relationship.
  3. Permission to Contact:
    Ensures the coach has explicit consent to reach out via the provided contact information.

Why This Form is Important

  1. Personalization:
    The form allows the coach to tailor their approach to the client’s unique needs, goals, and preferences.
  2. Assessment of Suitability:
    By understanding the client’s readiness, motivation, and challenges, the coach can determine if coaching is the right fit.
  3. Building Trust:
    Gathering detailed information upfront demonstrates the coach’s commitment to understanding and supporting the client.
  4. Setting Expectations:
    The form clarifies what coaching entails and what the client can expect, reducing misunderstandings later.
  5. Legal and Ethical Considerations:
    The consent section ensures the client understands the boundaries of coaching and agrees to the terms of engagement.

How to Use This Form Effectively

  1. Pre-Session Review:
    The coach should review the form before the first session to prepare and tailor their approach.
  2. Discussion During the First Session:
    Use the form as a guide to discuss the client’s goals, challenges, and expectations in more depth.
  3. Ongoing Reference:
    Refer back to the form throughout the coaching engagement to track progress and ensure alignment with the client’s goals.
  4. Updates as Needed:
    Encourage the client to update their information if their goals, preferences, or circumstances change.

This Client Intake Form is a powerful tool for creating a strong foundation for the coaching relationship. It ensures the coach has all the necessary information to provide effective, personalized support while also helping the client reflect on their goals and readiness for change.


Get ready for a fun-filled form template improvement project! What exciting edits shall we tackle? 🎉🚀 Edit this Personal Growth Coaching Form
Say goodbye to manual maths! Zapof lets you create your own fantastic form with tables that auto-calculate and work just like a spreadsheet – it's brilliant!
This form is protected by Google reCAPTCHA. Privacy - Terms.
 
Built using Zapof