Client Interest Form

Please complete this form to help me understand your needs and goals. This will allow us to personalize your 1:1 coaching experience. All information will remain confidential. This form may take approximately 10-15 minutes to complete.

Fields marked with * are required.

Full Name *

Preferred Name (if different)

Date of birth

Email *

Phone

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from CreativeThrive. Message frequency varies. Message & data rates may apply. Text HELP to (240) 887-1233 for assistance. You can reply STOP to unsubscribe at any time.

Preferred Method of Communication *

LOCATION

City *

State *

Country *

BACKGROUND INFORMATION

What sparked you to start this journey? 🐅 *

What are your primary goals for working 1:1 with me? *

Have you ever worked with a coach or therapist before?

Yes

If yes, what was the focus of your work?

CURRENT CHALLENGES

What specific challenges are you currently facing? *

What strategies or tools have you tried to address these challenges? *

How do these challenges affect your daily life, relationships, or career? *

AVAILABILITY

What is your preferred time of day for coaching sessions?

Morning

Afternoon

Do you agree to virtual coaching sessions?

Yes

ADDITIONAL INFORMATION

How did you hear about me?

Social Media

Referral

Website

Other

Is there anything else you would like me to know about your goals or needs before we start?

Today's Date *