Skip to content
For more information on "Seduced into Darkness" book
My practice is full at this time. To be added to a wait list, please fill out the
contact form
.
Home
About
About Carrie
About the Art
About the Book
Resources
Services
Intake Forms: Therapy
Intake Forms: Art Therapy
Intake Forms: Life Coaching
Intake Forms: Heartmath
Books
Events
Blog
Contact
Menu
Home
About
About Carrie
About the Art
About the Book
Resources
Services
Intake Forms: Therapy
Intake Forms: Art Therapy
Intake Forms: Life Coaching
Intake Forms: Heartmath
Books
Events
Blog
Contact
Coaching Inventory | Section #1
Step 1
Name
Email
Phone
Phone
Occupation
Date of Birth
Your home location:
Address
City
State
ZIP
Your work location:
Work | Address
Work | City
Work | State
Work | ZIP
Work Phone
Work Fax
Referred by:
Referred by
Key people in your life
Key people in your life
Submit Section 1
Coaching Inventory | Section #2
Step 1
1) As you contemplate working with a coach, what results would you like to achieve?
2) As you achieve those results, how will your life feel different from the present?
3) What habits/activities/thought processes do you believe need to be dropped, simplified or let go of, in order to achieve those results?
4) List five (5) of your personal strengths or assets.
5) List five (5) energy drains that exist in your life at present.
6) List at least five (5) empowering habits that you currently practice or desire to practice (indicate (C) current / (D) desired) (e.g. exercise three times weekly (C); daily meditation practice (D)).
7) Coach’s role: What do you expect of me? Please include what does/doesn’t work in having someone support you.
This space is for anything else you would like me to know.
Submit Section 2
Step 2
Next: Wheel of Life Inventory
Fill Out Form #2