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Health & Wellness

Coaching Intake Form

Understand new coaching clients before the first session: goals, obstacles, history, and how they want to be coached.

10 fields
2 pages

Ready to use

Included Fields

Full name

Short Answer

Email address

Email

Phone number

Phone Number

Have you worked with a coach before?

Multiple Choice

Which areas do you want to focus on?

Checkboxes

What would you like to be different in 6 months?

Long Answer

What have you already tried, and what happened?

Long Answer

What tends to get in your way?

Long Answer

How ready are you to make changes right now?

Linear Scale

How do you like to be supported and challenged?

Long Answer

Form Structure

1

About You

5 fields
Full name
Email address
Phone number
Have you worked with a coach before?
Which areas do you want to focus on?
2

Goals & Context

5 fields
What would you like to be different in 6 months?
What have you already tried, and what happened?
What tends to get in your way?
How ready are you to make changes right now?
How do you like to be supported and challenged?

About this template

A coaching intake form that makes the first session count double: the client's six-month vision, what they've tried, what gets in their way, and how they want to be coached. Reflection that starts working before you've even met.

A good intake form is the first coaching intervention. Writing down 'what would be different in six months' forces the goal clarity most clients arrive without, and 'what have you already tried' saves you from prescribing week one what failed in year three. The readiness scale sets honest expectations for pace on both sides.

The 'how do you like to be supported and challenged' question is the one clients remember. It signals that the coaching will be built around them, and it genuinely calibrates your style from session one.

Tips for better results

  • 1Send the form after booking but before the first session, and re-read it 30 minutes before each first call.
  • 2Quote the client's own six-month answer back to them in session one. It's an instant trust builder.
  • 3Revisit their intake answers together at the halfway point of an engagement; the distance traveled is motivating.
  • 4Keep the readiness score in view: a self-declared 4 needs a different pace than a 9.

Frequently asked questions

When should clients fill this in?

Right after booking, while motivation is high. Completion of the intake is itself a commitment signal, so chase non-completers gently before investing a full session.

Is client information kept confidential?

Formly is GDPR compliant and hosted in Europe with no respondent tracking. Keep workspace access to yourself, and export or delete records per your confidentiality agreement.

Can I adjust this for group programs?

Yes. Duplicate the form per cohort and ask Formly's AI to adapt it ("make this an intake for an 8-week group program").

Who this template is for

  • Life, career, and executive coaches
  • Health and fitness coaches onboarding clients
  • Mentors structuring new relationships
  • Therapists and counselors doing pre-session intake (non-clinical)

Not an exact fit? Use this template as a starting point and edit anything, or describe what you need and let Formly's AI adapt it for you.

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