Self-Luv and Breakthroughs with

Coach Auntie Ree - Client Intake Form

Please answer these questions as honestly as you feel comfortable. This helps me support you with clarity, compassion, and purpose.

First name

Last name

Phone

Question 1. What led you to seek coaching with Auntie Ree?

Question 2. What are you currently struggling with emotionally, spiritually, or mentally?

Question 3. What does healing or self-luv look like to you right now?

Question 4. Have you worked with a coach, therapist, or counselor before? If yes, what was the experience like?

Question 5. Which area(s) would you most like to grow in?

Question 6. On a scale of 1-10, how ready are you to make a shift in your life?

Question 7. Is there anything you'd like me to know before we begin?