Coaching Consultation Intake | Sher Downing, PhD

Step 1 of 5

Let's start with you

Basic contact details so I can personalize our time together.

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Email Address *

Please enter a valid email address.

Phone (optional)

Preferred Pronouns (optional)

City / State

How did you hear about me? *

Please select an option.

Step 2 of 5

Your Business

Help me understand where you are right now.

Business / Organization Name *

Please enter your business name.

Website or LinkedIn URL (optional)

What does your business do? *

0 / 500

Please describe your business.

Business Stage *

Please select your business stage.

Industry / Sector *

Please select your industry.

Are you currently a caregiver? *

Yes — primary caregiver Yes — shared caregiving Not currently, anticipating it No

Please select an option.

Step 3 of 5

Where It Gets Hard

Honest answers here help me make our consultation immediately useful.

What is your single biggest challenge right now? *

0 / 600

Please share your biggest challenge.

How long has this challenge been present?

What have you already tried?

0 / 500

Rate your current stress level

Low — managing wellHigh — overwhelmed

Step 4 of 5

Where You Want to Go

Let's get specific about the future you're building.

What does success look like for you in the next 6–12 months? *

0 / 600

Please share your vision of success.

What is your primary reason for seeking coaching now?

Rate your current confidence in reaching those goals

Very low confidenceHighly confident

Is there anything else you want me to know before we meet?

0 / 500

Step 5 of 5

Logistics & Readiness

A few quick practicalities so we can hit the ground running.

What is your preferred consultation format?

Zoom / Video Phone No preference

Investment readiness — where are you right now?

Ready to commit if it's a fit Exploring options Need pricing first Just gathering info

What is your current monthly coaching / professional development budget? (optional)

On a scale of 1–5, how committed are you to making a change right now?

Casually consideringAll in — let's go

By submitting this form you agree that the information you share will be used solely to prepare for our consultation and will be kept confidential.

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You're all set!

Thank you for taking the time to complete this intake. I've reviewed what you've shared and I'm looking forward to our conversation. You'll receive a confirmation email shortly.

Contact

Name—

Email—

Location—

Business

Business—

Stage—

Industry—

Caregiver—

Focus Areas

Biggest Challenge—

Vision of Success—

Questions before we meet? Reach out at sher@sherdowning.com
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