New Client Intake Form | Lara Hernandez

New Coaching Client Intake Form

Personal Information

First Name

Last Name

Preferred Pronouns

Phone

Birthday

How did you hear about my coaching services?

Current Situation and Spiritual Journey

What inspired you to seek spiritual life coaching at this time? What challenges or struggles are you currently facing?

What does "spiritual growth" or "inner peace" mean to you personally?

What are your core values or principles or beliefs you live by?

What personal beliefs or habits might be holding you back?

How do you typically handle stress or uncertainty?

What do you hope to gain or achieve from this coaching session? (Clarity, specific strategies, emotional support, new perspectives)

Have you ever worked with a coach, therapist, or spiritual guide before? If so, what was your experience like?

On a scale of 1-10, how ready are you to make changes in your life? (1 = Not Ready, 10 = Fully Ready)

Is there anything else you’d like me to know about you or your question that might help me provide a better response?

Agreement and Consent

I understand that spiritual life coaching is a collaborative process and that the coach will respond with guidance, perspectives, and actionable steps tailored to the information I’ve provided.

Yes, I agree.

I acknowledge that spiritual life coaching is focused on personal growth and self-exploration, and it is not intended as a substitute for medical or psychological treatment, nor should it be considered a replacement for financial advice.

Yes, I agree.

I have read and agree tothe terms & conditions

Your Signature

Select a date

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