Coaching Intake Form

Congratulations and welcome to PWP's Leadership & Performance Coaching Program!

Leadership & Performance Coaching is an impactful and accelerated path to accomplishing your personal and professional goals. It is an honor to come alongside you in this journey ahead. Please allow 10-15 minutes to complete the intake form below. Your responses will empower us to start the coaching engagement strong! Upon submission of your intake form, you will receive an automated email to create an account that will give you access to your account portal & coaching dashboard. From there, you will be able to schedule your first (and future) coaching session. If you encounter any issues, please email me directly at [email protected].

Coaching Intake Form

Please allow 10-15 minutes to complete the questions below.

First Name

Last Name

Phone Number

Preferred Method of Communication

Website / Social Link (LinkedIn profile preferred)

Company / Organization

Title/Position/Department

Total Years of Professional Work Experience

When you visualize your professional and personal aspirations, which details or activities bring the most energy and joy?

What specific goals or challenges do you hope to address through coaching?

What are some expectations you have for your coach?

What would success look like for you at the end of our time together?

When I offer feedback or provide accountability, what approach can I take that helps you stay open, curious, & motivated?