Discovery Call

Welcome Message

Thank you for your interest in working together. This form will help me understand your current wellbeing, your goals, and how I can best support you.

There are no right or wrong answers—simply answer honestly. All information shared will remain confidential.

1. Personal Information

Your full name

Your email

Your contact number

Your age

Occupation

Company

City/Town

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2. About You

Tell me a little about you.

Example:

What would you like me to know about you before we speak?

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3. Your Current Wellbeing

How would you rate the following from 1–10?

Area	Score
1. Energy levels
2. Stress Levels
3. Sleep Quality
4. Nutrition
5. Physical Activity
6. Emotional Wellbeing
7. Work-Life Balance
8. Self-Care
9. Overall Happiness

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4. What are you struggling with most?

Select all that apply.
Constant fatigueStressBurnoutPoor sleepEmotional eatingWeight concernsLack of motivationLack of timeAnxietyFeeling overwhelmedDifficulty creating healthy habitsFeeling disconnected from myselfOther

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5. What prompted you to book this discovery call today?

Consent
I understand this discovery call is designed to explore whether coaching is the right fit for me.
I understand coaching is not medical treatment or therapy.
I agree that the information I provide will remain confidential.