Personal Coaching Intake

 

Personal Life Coaching - Intake Assessment

Personal Life Coaching

Intake Assessment

Welcome!

Let's start with some basic information about you. This coaching journey is all about your personal growth and transformation.

Your Journey Begins

Understanding what brings you to coaching helps us create a roadmap for your transformation.

Not motivated Extremely motivated

Wheel of Life

Rate your current satisfaction in each life domain on a scale of 1-10. This helps us identify areas that need attention.

Career & Work

Finances

Health & Wellness

Relationships & Love

Your Core Values

Values guide your decisions and give your life meaning. Let's identify what matters most to you.

Examples: Honesty, Creativity, Family, Growth, Freedom, Love, Success, Adventure, Peace, Service, etc.

Not at all aligned Perfectly aligned

Faith & Spirituality

Understanding your spiritual life helps us integrate what matters most to you.

Your Strengths & Growth

Let's identify what you're already good at and where you want to grow.

Examples: Resilience, Creativity, Kindness, Leadership, Humor, Persistence, etc.

Understanding & Agreement

Please read each statement carefully and provide your initials to indicate your understanding and agreement.

I understand that this is a coaching relationship, not therapy or clinical counseling. Those needing clinical work will be referred to appropriate licensed professionals.
I understand that coaching employs various techniques and approaches that are flexible and tailored to my unique needs. The focus is on achieving desirable outcomes and fostering healthy growth rather than dwelling on past problems.
I understand that all information shared is kept confidential except in three primary areas: 1) suicidal ideations or intent, 2) child or elderly abuse and/or neglect, and 3) homicidal ideations or intent.
I understand that my coach reserves the right to refer me to another coach or licensed professional should they deem it in my best interest.
I commit to being on time for sessions, honest in my communication, and actively engaged in my personal growth process. I understand that the value of coaching depends largely on my willingness to be open and do the work.

Online Courses

Keys to Lasting Loving Relationships

You get access to over 20 hours of Dr. Gary Smalley's best-selling video series of all time! Instant access to 19 lessons In-depth lesson content Our 30 day money back guarantee

$84.00 USD

The DNA of Relationships

You get instant access to six powerful lessons to help make any relationship stronger and more satisfying.

$47.00 USD

Rise

In RISE, Michael shares his authentic journey of recovery through a Christ-centered approach to the 12 steps. This isn't typical Christian recovery—it's honest, practical, and filled with tools that actually work when life gets messy.

$12.94 USD

Overcoming Codependency

Embark on a journey through the complexities of codependent behavior and discover the empowering path to freedom from its hold.

$15.00 USD

Transform Your Marriage in 31 Days

Build the marriage of your dreams with powerful devotionals, clinically proven enrichment, and just plain old fun together!

$31.00 USD

Letting Go In Love

The Essential Relationship Skill You Never Learned! Discover the one skill that will transform every relationship in your life - from marriage to parenting, friendships to family dynamics.

$17.00 USD