Coaching Interest Form — Doing Life with Alexis

About You

1. Name

2. Email address

3. Phone number

4. Are you 18 or older?

Yes No

5. City, state, and time zone

6. How would you prefer we contact you?

Email Text Phone call

7. What prompted you to explore coaching now?

Your Goals

8. Which areas would you most like to focus on? Check any that fit.

Confidence and self worth Relationships and communication Purpose and direction Boundaries Faith and personal growth Life transition or new beginning Daily habits and accountability Other:

9. What feels most challenging right now?

10. What are three changes you would love to make?

11. If life felt more like your best life, what would be different?

12. What would make coaching feel worthwhile to you?

Your Coaching Preferences

13. Which coaching path interests you most? Choose one or more.

Women and self discovery Men and relationships Personal growth and new beginnings I am not sure yet

14. Would you like faith included in your coaching conversations?

Yes, when relevant to my goals No, I prefer not to include it I would like to decide with my coach

16. Why did you choose that number?

17. What support or accountability would help you follow through?

18. What type of coaching are you considering?

A single session A multi-session package I would like guidance choosing I am exploring for now

Availability and Next Steps

19. What days and times usually work for you? Include your time zone if different from Central Time.

20. How did you hear about Doing Life with Alexis?

21. Would you like us to contact you about a complimentary 15-minute discovery call?

Yes No, please send information first

Before You Submit

Anything else you would like us to know? (Optional)