New Client Intake Form

‍ ‍Please complete the following form prior to our first session.

Privacy: Any information you share will be kept private unless I am legally obligated to disclose it. Please note that information shared electronically carries inherent risk, and I am not responsible for data breaches beyond my control.

Skip anything uncomfortable: If you are not comfortable answering any question below, simply skip it or enter N/A.

Guidance for responding: Don’t overthink your answers. When in doubt, keep responses brief. This form is intended to provide an overall picture; anything you wish to expand on can be explored together in future coaching sessions.

If you have any questions or concerns about the form prior to our initial session, please contact me directly at amy@amylouisecoachingllc.com or (773) 336-2209.

I can provide a copy of your completed form responses to you via email upon request.

Thank you for your time and care in completing this important step.