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New Wellness Coaching Client Intake Form

If you're a wellness coach, you know how important it is to have all the essential information from your clients before the coaching process begins. The New Wellness Coaching Client Intake Form provides you with a comprehensive list of questions to ensure you have all the information you need to provide the best service.


This form template provides you with a variety of questions to get to know your client's background, health history, goals, and preferences. It also gives you a chance to discuss what they're looking for in a coaching relationship. This is an excellent way to set expectations and ensure that clients are receiving the services they need.


The New Wellness Coaching Client Intake Form allows you to easily customize the questions to best fit your clients' needs. This ensures that you will always have the most up-to-date information and will be able to provide the best experience for your clients.


The form template also provides you with a way to track your client's progress. You can easily keep track of their goals and successes throughout the coaching process.


Overall, the New Wellness Coaching Client Intake Form is an excellent way to ensure you have all the necessary information from your clients before the coaching process begins. It is an essential tool for any wellness coach and will help you provide the best possible service.

New Wellness Coaching Client Intake Form

  1. Best Phone Number:
  2. Best email to reach you:
  3. Address:
  4. Date of Birth:
  5. Occupation:
  6. Emergency Contact:
  7. What is your preferred means of communication (i.e. telephone / email / voicemail / SMS / messenger / Facebook / other)?
  8. Names of significant others in your life, and your relationship to them:
  9. What influenced your decision to work with a coach?
  10. Have you been coached prior to this?  If so, describe the coaching experience:
  11. What are your specific desired outcomes from the coaching?  If you’re not sure, that’s okay… (perhaps consider what you might like to experience more of / less of / differently in your life)
  12. What are your significant commitments?
  13. What would your ideal life look like?
  14. What are your dreams?
  15. What dreams have you given up on?
  16. What’s working well for you right now?
  17. What’s a challenge for you right now?
  18. What do you value / what’s most important to you?
  19. What do you believe prevents you from having the life you want?
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