CSA Accelerator
Intake Form

Use this form only if you have completed a free enquiry call.

This helps me get to know you better in preparation for our first session.

Your information is treated in the strictest confidence and according to our privacy policy.

However, please call me on 07974 575 422 should you wish to carry this out over the phone.

Contact details

Name

First Name

Last Name

Phone

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Coaching Knowledge and Style

What do you understand coaching to be?

What experience do you have of coaching to date?

Includes both one-to-one or group coaching programmes.

How would you like to be coached?

There are more direct styles with a focus on strong motivation and accountability, or softer style focusing more on your direction if you are already highly motivated and accountable.

Your history and goals

This helps me assess where you are and how best to support you. The more information you provide, the more effective our sessions will be. You are not obliged to answer all the questions and can ‘pass’ or ask me for further clarification if you need.

What is your biggest challenge that you want help with right now?

This is usually the reason why you requested coaching.

What have been your three most fulfilling accomplishments of your life so far?

Tell me about the biggest thing you have had to overcome and what you've learnt from this.

What specifically would you like to achieve in the 6 months?

What goals do you have for the programme? Don't worry if you're not clear yet. The first few sessions will help you get clarity on this.

Are you past, present or future oriented?

Indicate whether you tend to think more about the past, present or the future.

What is your Myers Briggs personality type?

If you don't know, take a free test–which takes less than 12mins and select your type from the menu. Take Myres Briggs Test

Preferred Session Slot

Weekly Masterminds: What's your preferred session time?

This is for the Weekly Mastermind sessions. Once we take all participants availability into account we will confirm the schedule with you.

1-2-1 Coaching Sessions: What's your preferred session time?

This is for your 6 sessions which can be booked monthly or as you need. I allocate slots for these on Tuesdays, Thursdays and Fridays.

Who referred you to this programme?

Enter their name in full as we want to thank them!

CSA AcceleratorIntake Form

It’s not just air

CSA Accelerator
Intake Form