Intake form

Name *

Email address *

What are your primary goals for personal development?

Please select at least one option.

Improve health and wellness

Enhance positive mindset

Achieve professional growth

Increase motivation

Develop leadership skills

Foster better relationships

How did you hear about better makes better?

What specific areas would you like coaching in?

Please select at least one option.

Life coaching

Health coaching

Career coaching

Wellness coaching

Mindset coaching

Relationship coaching

What challenges are you currently facing in achieving your goals?

How often would you like to meet with a coach?

What is your preferred method of communication?

Please select at least one option.

In-person

Phone

Video call

Email

What is your current level of experience with coaching?

Which service or services are you interested in?

Please select at least one option.

Motivational coaching

Health and wellness coaching

Positive mindset development

Additional questions or comments

Better makes Better