NYLCI Intake Form

Date(Required)

Name(Required)

First Last

Email(Required)

Age

Profession

Relationship Status

Religious background or Spiritual inclination

What are you most interested in learning in this training?

What do you think might be most challenging for you in this training?

Have you ever worked with a coach/therapist?

YES

If yes, what results did you get/not get? Please describe.

Have you taken other relevant classes or training?

YES

Please describe.

Do you have a regular meditation or spiritual practice?

YES

Please describe.

What’s your vision for yourself once you have completed this coach training and certification program?

Do you have any idea of what niche (target market) you might be interested to develop for your coaching business?

How would you define success? (What does “being successful” mean to you?)

What areas in your life that you most need to work on?

What do you consider your strengths and weaknesses?

What are you most proud of in your life thus far?

How is your relationship with money? Do you feel abundant in general?

Is there anything else about yourself that you’d like to share, which might help us to offer more effective guidance to you?

Comments

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