Discovery

Please share as much detail as you feel comfortable with; this enables us to come into the Discovery Session knowing about you and your goals so our partnership can begin on the right foot.

Name

First Name

Last Name

Phone

(###)

###

####

Birthday

YYYY

Main Health Goals

Why are you reaching out to a health coach today? What specific health, wellness, and lifestyle changes would you like to make? On a scale of 1-10, how important is it to you to make each of these desired changes? The more goals the better!

How would your life be different if you were to achieve these health changes?

What have been your barriers in creating these health changes for yourself?

How do you feel a Health Coach will help you achieve your goals?

Coachability Self Assessment

On a scale of 1-10, rate how ready you are to enter a health coaching relationship right now.

I am open-minded about learning new ways of eating, moving, and living.

I can commit to changes that feel uncomfortable, unusual, or unconventional.

I will communicate and negotiate with my health coach as an equal partnership, and feel confident to ask for what I need.

I have a high level of self-awareness.

I will keep my word to my coach and to myself.

I understand that health coaching is an investment in myself, and I will not suffer about the financial cost.

Preferred day / time for Sandy to contact me:

We love the coach-curious.

Our free call is 30 min-1 hr, and it’s all about YOU.

Discovery

Beyond Intention