This whole-person reflection helps us see the big picture of your life, recognize your strengths, and begin establishing meaningful goals together. There are no right or wrong answers, and brief, honest responses are welcome.

Please complete it before your first session if possible. If you need more time, you may work through it over the first few weeks of coaching. The sooner you share what you can, the sooner we can begin clarifying your goals. You do not need to finish every question to begin our work.

Only your name and email are required. Every reflection and rating is optional. Skip anything that feels too personal, does not apply, or would be better discussed in a session. You do not need to describe traumatic events in detail.

Use Save and Continue Later before leaving the form; simply closing the page does not save your work. Keep your personal return link private. Saved drafts normally expire after 30 days. A saved draft is not a submitted intake. When you are ready to share your responses, use Submit My Intake on the final page.

This assessment supports a coaching conversation; it is not a diagnostic test or a complete clinical intake. Coaching focuses on personal growth, goals, and everyday well-being and does not replace psychotherapy or medical care. We will clarify the appropriate service and its boundaries, confidentiality, and limitations in a separate agreement before beginning.

Thank you for your time, trust, and honesty. You do not need to have everything figured out. These reflections give us a place to begin. Submit when you are ready to share what you have completed, or save your draft to return later.