Discovery Session Name * First Name Last Name Email * Tell Me A Bit About Yourself What is your living arrangement? Tell me about your home and who you live with. How Do You Currently Feel About Your Life? Select All That Apply Fulfilled but lacking direction Stuck & frustrated Busy but unproductive Constantly overwhelmed Generally content but could use improvement Desperate for change or transformation I love my life but wish I was more organised I have so many ideas but I suck at finishing I am generally happy, but I get sidetracked a lot and it stops me achieving my goals What are your 3 biggest priorities right now? Helps to identify where focus lies - work, relationships, personal growth, health etc What do you think is holding you back the most from feeling your best and achieving your goals? Select all that apply Procrastination Lack of confidence Lack of energy Lack of motivation Lack of time/too busy Negative self-talk Emotional overwhelm Poor emotional regulation Lack of structure or systems Self-worth issues Past holding you back Easily distracted Other If you said other, what do you think it is? Can you describe a recent moment where you felt frustrated stuck or unfulfilled? Have you sort help for these challenges before? If yes what worked and what didn't? What are your greatest strengths both in terms of your personality and skills? Who or what do you currently rely on for support? Select all that apply Friends Family Therapist or counsellor Coach Online communities or support groups No one I handle things myself Other What is something you've achieved in the past year that you were proud of? Describe what your ideal life looks like What areas of your life would need to change in order for you to create that life? Select all that apply Improve self-care routine Better emotion regulation and less stress Achieving a big goal or project Feeling confident and self assured Reduce procrastination Building healthy relationships Having more energy and motivation Having a clearer sense of direction What one specific change could make the biggest difference in your day-to-day life? How would you describe your current daily routine? Very structured works well for me Some structure but often gets derailed Completely chaotic, no sense of routine Structured but exhausting and I'm burning out On a typical day, what are your most challenging moments or transitions? Select all that apply Waking up/ getting started Getting to work or starting work tasks Transitioning between tasks Knowing where to start Ending the work day and I'm winding Going to bed at a reasonable time Stopping myself from doom scrolling None of these Something else If you said something else, what is it? Do you currently engage in any daily or weekly self-care practices? If so what does that look like? Out of the following which self-care practices do you currently engage in regularly? Select all that apply Meditation Visualisation Affirmations Journaling Supplements Medication Therapy Coaching Prayer Yoga Gratitude practice Exercise Nutritious diet Education Solid wind down routine Optimal bedtime Massage Breathing techniques Other How committed are you to making positive changes in your life right now? I am 100% committed to creating the life of my dreams, feeling great and achieving my goals Strongly Disagree Disagree Neutral Agree Strongly Agree What typically happens when you set goals for yourself? Select one I achieve them with Little issue I get halfway there, but something stops me I get overwhelmed and end up not completing them I nearly always get 90% of the way there and then bail I avoid setting goals because I worry that I'll never be able to achieve them When things feel overwhelming more manageable, what are you usually do to cope? What impact do you want to make in the world or what would you like your life to say about you? What stops you from taking better care of yourself or pursuing your goals? Select all that apply Guilt about prioritising myself Feelings of unworthiness Too many responsibilities Lack of energy or feeling burnt out Fear of failure Knowledge about what to do If I could wave a magic wand and fix one thing in your life, what would it be? Is there anything else you'd like me to know about your journey struggles or goals that might help me tailor my support to you? What kind of support do you wish existed? How would you prefer to be supported? Select all that apply One on one coaching sessions Group sessions for share support Tools and templates for self-paced programs Accountability partners or check-in Guided meditations or Audio resources Educational videos Other If you said other or you have another idea of something that might be really helpful for you or other people like you what would that be? What's one thing that you wish people knew about people in your current circumstance? Thank you!