Integral Coaching Session

Integral Insight Session – Intake Form

Hi! Thank you for taking time to reflect on and answer these questions. I am so looking forward to our session! As best you can, bring your most relaxed and open self to these queries. There are no right answers, or wrong answers. There’s simply what’s true for you. Feel free to share as much or as little as feels right, as uncensored as possible. All of you is welcome.

Name *

First

Last

Email *

Contact Phone Number *

Address (Street, City, Provice/State, Country, Code) *

Website (or other links you’d like me to reference)

Birthdate

Professional identity or vocation

What would you like the primary focus of our work together to be?

Why is this important and relevant to you right now?

What key themes or patterns have you noticed around this topic or area of focus?

What have you tried in order to advance, change or resolve this?

What strengths or qualities do you have that you draw on?

Under stress, what habitual behaviours do you engage with?

What are the top 2 -3 outcomes or shifts you'd like from our session?

What experience do you most want to have during and after our session?

What qualities are most important to you that I bring and offer?

Is there anything else you want to share or any questions you have before our session?