work with me Full Name * First Name Last Name Email * Phone (###) ### #### What guided you to seek self-discovery coaching at this time? * What are your main goals for self-discovery coaching? * Improving Self-Awareness Expanding Emotional Resilience Overcoming Self-Doubt Building Confidence Discovering Purpose Other (please specify): What specific outcomes would you like to achieve through coaching? * What are the primary obstacles you are currently facing? * Lack of Clarity in Life Direction Difficulty Managing Stress and Anxiety Negative Self-Talk Emotional Blockages Low Self-Esteem Feeling Unfulfilled Other (please specify): How would you describe your current level of self-awareness? * Very Low Low Moderate High Very High What self-care practices do you currently engage in? * (e.g., journaling, meditation, exercise) How committed are you to making changes in your life to achieve your goals? * Not Committed Somewhat Committed Committed Very Committed Is there anything else you would like to share or believe is important for me to know? Thank you! I will be in touch shortly for scheduling! your best self is waiting.