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🌿 Soul Shift Coaching – Intake Form
Rooted in YOU. Rising with Purpose.
Name
*
Email address
*
Pronouns (Optional)
What brings you to coaching right now?
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Which coaching package are you most interested in?
*
Please select at least one option.
Free 15-Minute Consult
Goal Setting & Achievement (3 or 6 Months)
Leadership Development (3 or 6 Months)
Transformational Life Coaching (3 or 6 Months)
What are your top 2–3 goals or intentions for coaching?
*
What do you most need from a coach right now?
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How do you like to be supported when things get hard?
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What identities, lived experiences, or values do you want me to understand as we work together?
*
Preferred session times (check all that apply):
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Please select at least one option.
Mornings (8-10am)
Afternoons (1-3pm)
Evenings (5-7pm)
Weekends (9-1pm)
Flexible
Preferred format:
*
Please select at least one option.
Video (Google Meets, Zoom, FaceTime)
Phone
No Preference
Do you have access to a quiet, private space for coaching sessions?
*
Please select at least one option.
Yes
No
Sometimes
Anything else you'd like to share before we connect?
Please confirm that you are not a robot.
Submit
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