Worthy by Design: Client Intake Questionnaire

Welcome, Queen! I’m so honored you’ve chosen to say YES to your next level. This short form will help me understand where you are, why you’re here, and how I can serve you best over the next 12 weeks.

First Name *

Email *

What inspired you to join the "Worthy by Design" coaching program at this time in your life? *

In your own words, what does being “worthy by design” mean to you? *

What are the top 2–3 goals you'd like to accomplish during the 12-week journey together? *

What challenges or limiting beliefs have been holding you back from achieving these goals? *

What are your expectations of me as your coach and of the program as a whole? *

Bonus Question:

How would you like to celebrate or acknowledge your growth at the end of this 12-week journey? *

Think big or small: a solo trip, a photoshoot, writing a letter to your younger self, treating yourself to something meaningful, how will you honor the woman you’re becoming?