💜 C O N G R A T U L A T I O N S 💜

You decided to invest in yourself. You get to celebrate this amazing step!

For your first side quest, please answer these questions. You may type them out and send this form or send your answers to Jess via Marco Polo.

The purpose of this assignment is to document why you have decided to jump into coaching at this time and provide some useful information for your coach. The answers to these questions can be useful to refer back to within the coaching container.

First Name *

Last Name *

Email *

Phone *

Date of birth *

Why did you choose to start coaching now? *

What are you hoping to achieve in this coaching container? *

How do you prefer to receive feedback?

Direct & straightforward - just tell me what I need to hear

Gentle and encouraging - I still want honesty, but with softness

With specific examples - I need to understand exactly what you mean

With suggestions or alternatives - don't just tell me what's not working

In writing - I like to reread and process at my own pace

Verbally - I prefer talking it through in real time

A mix of these, depending on the situation

I'm not sure yet - let's figure it out as we go

When you're overwhelmed or stressed out, what's your default move? *

I shut down or go numb (veg out, scroll, sleep, etc)

I avoid everything (disappear, cancel plans, ghost)

I get super busy (clean the house, organize something random)

I spiral and overthink every little thing

I try to push through and force myself to "just do it"

I snap at people or get irritable (even if I don't mean to)

I cry, melt down, or feel everything all at once

I ask for help (or wish I could)

It depends - sometimes one, sometimes another

If you disappear (ghost, go quiet, or don't do your assignments), how would you want me to lovingly reach out and check in? *

If you selected "Reach out to someone I trust," who should I contact and how? *

Who is your emergency contact? *

What is your emergency contact's phone number? *

Is there anything else you would like your coach to know? *