Coaching Intake

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

All the information you submit on this intake will be kept confidential. Upon submitting this form, all answers in the boxes will be sent directly to Cheryl McCallister's personal email, info@cherylmccallister.com This information will only be seen by Cheryl McCallister. You can reserve the right to not disclose your personal history. It is solely up to you which questions you choose to answer. However, all fields are required to have an answer. If you choose to not answer please type, "No Answer" in the field.

Personal History Questions

If you could have anything your heart desired and everything was possible, what would your dream life look like? Use your feeling and emotional body to contact clear, descriptive adjectives that describe your dreams. This will also invoke the subconscious minds creative capacity to expand beyond your currently reality.
There are a total of

Dream Life Defined *

What would your relationships look like? *

What would your business, job, career, and finances feel and look like? *

What would your relationship with your body look and feel like? *

Reflect on the previous four questions and write down how you feel in your dream life having the job, finances, relationships, body, and everything else you desire. *

In order to have what your heart truly desires, the life you are dreaming of, what do you, feel, think, and believe you need to change? What would need to be different to have what your heart desires?

What would you change about your relationships? *

What would you change about business, job, career? *

What would need to change about your finances? *

What would you change regarding your body? *

Family History

Describe your relationship with your mom growing up and currently. *

What would you like to experience, feel, and have in your relationship with you mom? Even if your parent is passed on, this is important to answer. *

What are the most hurtful, painful, or disheartening experience or memory with your mom? *

Describe your relationship with your Dad growing up, throughout your life, and currently? *

What would you like to experience, feel, and have in your relationship with your father? Even if you parent is passed on, please do your best to answer. *

What was your relationship like with your siblings? *

Are there any friends who you feel have betrayed you or wronged you in anyway. List those friends and describe those events. *

Are there any partners, or past loves that you feel betrayed you or wronged you in anyway? List those and describe the events. *

Do you judge yourself? If so, explain how and regarding what. *

What are the most painful, hurtful, or disheartening experiences with your dad? *

If you have step-parent, describe your relationship with them growing up and currently. Are there any hurtful, painful, or disheartening experiences with them? *

What is the worst thing someone could think or say about you? *

Is there anything in your life you regret not doing? Any unlived dreams? *

Is there someone in your life that you really want to help so that they can finally be happy, successful, and joyful? *

You DID IT!

Please provide any other information you would like to share. *

After submitting your completed personal history intake, you will receive an email with a link to schedule your Free 45 Minute Coaching Consultation.

Submit

Coaching Intake

Personal History Questions

May our work together be playful, transformative, and enlivening!

Address

Email