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Executive Coaching
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Core Energy™️ Coaching
Energy Leadership Index
Home
About
Solutions
Services
Executive Coaching
Narrative Coaching
Core Energy™️ Coaching
Energy Leadership Index
It’s your time to glow
Contact
Acuity Intake Form for Coaching Sessions
MindGlow Mentoring Form 2
Name
*
First Name
Last Name
Email
*
Time Zone or Location
Current Occupation or Role
LinkedIn Profile (optional)
Coaching Goals & Focus
What brings you to coaching right now?
Feel free to share what’s been on your mind, any changes you're navigating, or outcomes you’re seeking.
What area of your life or career would you like to focus on?
Career transition or decision-making
Life purpose, values, or direction
Leadership or confidence building
Work-life balance or wellbeing
Communication or personal effectiveness
Other (please describe below)
What would make this session or series feel valuable to you?
This helps your coach shape the session around what really matters to you.
Self-Assessment
How would you rate your current clarity or confidence in this area?
Feeling very stuck or unclear
Some direction, but unsur
Feeling mostly clear/confident, looking for refinement
Have you worked with a coach before?
Yes, recently
Yes, in the past
No, this is my first time
Not sure if it was coaching or mentoring
What is your preferred communication or coaching style?
Select all that apply
Thoughtful questioning and reflection
Direct feedback and challenge
Structured tools and planning
Visuals, frameworks, or written summaries
Empathy and emotional support
Practicalities
Do you have any upcoming deadlines, events, or decisions that are relevant to your work?
Is there anything else you’d like your coach to know before the session?
Thank you!
