Welcome

You made a real decision to get here. That matters.

This questionnaire is how I get to know you before we begin. There are no right answers. Just be honest. The more real you are here, the better I can show up for you from day one.

Take your time.




Your Life & Challenges
How would you describe your current life stage? (e.g., career-focused, rediscovering yourself after family commitments, navigating a transition, etc.)
What does a typical day look like for you? Where do you feel most fulfilled, and where do you feel most drained?
What challenges have you been facing lately when it comes to your physical, mental, or emotional well-being?
Do you feel connected to your body right now, or does it feel like there’s a disconnection? Please elaborate.
How does stress or tension show up in your body? Are there specific areas where you feel it the most?
Have you found yourself putting others' needs ahead of your own? How has this impacted you?
Your Goals & Aspirations
What does alignment (mind, body, and soul harmony) mean to you?
What do you want to feel more of in your life? (e.g., confidence, strength, clarity, groundedness, etc.)
How would it feel to wake up every day feeling energized, empowered, and connected?
Which areas of your life are you craving the most transformation in? (e.g., physical health, emotional resilience, mindset, relationships, etc.)
What is one thing you’d love to change about the way you feel physically, mentally, or emotionally right now?
Imagine your dream self six months from now. What does that version of you look and feel like?
Past Experiences & Mindset
Have you tried any practices like breathwork, mindfulness, yoga, or strength-building before? Which ones resonated with you most (or least)?
What’s held you back in the past from making yourself and your well-being a priority?
Are there any self-care habits or practices you’ve started but struggled to maintain? If so, what made them challenging?
Do you experience perfectionism, overthinking, or fear of failure when trying to make changes? If yes, please describe.
Expectations & Readiness
What does success in this coaching partnership look like for you? What would feel like a meaningful result?
What expectations do you have for this coaching process? Is there anything you’re excited about or nervous about?
How open are you to trying new approaches, such as breathwork, mindfulness, or intuitive movement?
On a scale of 1-10 (1 being “not ready” and 10 being “absolutely ready”), how prepared are you to invest time, energy, and commitment into your transformation?
What do you need most from me as your coach to feel supported and empowered throughout this process?
Additional Insights
Is there anything else you’d like us to know about your goals, challenges, or vision for yourself before we get started?
Do you have any specific questions about the coaching program or what to expect?
Thank you for taking the time to share your thoughts and experiences. This is your first step toward stepping boldly into your vitality and rediscovering the empowered, aligned version of you. We can’t wait to walk this exciting path with you!