The High Agency Intensive

Intake Form

Thank you for taking this first step. Take your time with it, and when you hit send it comes straight to us. Honest beats polished every time.

Once we've read your answers, we'll reach out to book your free call.

Your High Agency Intensive Intake Form

There are no wrong answers here, and honest beats polished every time. Once we've read your answers, we'll reach out to book your free call.

City, province/state & time zone
How did you hear about us?

Where you are now

Which areas of your life feel most out of alignment right now? Tick all that apply.*
Tell us a little more
What specifically do you want to be different 12 weeks from now? Describe what you'd be doing, saying yes or no to, or feeling that you aren't today.*
Why does that matter to you, and what has gotten in the way of it happening so far?*
Why now? Why not six months from now?*

Your patterns

What would it mean for you to stop waiting for circumstances, other people, or motivation to change first?*
When you don't follow through on a commitment you made to yourself, what do you say to yourself, and what do you usually do next?*
What reason do you most often give yourself for putting something off or avoiding it? What might that reason be protecting you from?*
What are you currently accepting in your life that you know is below the standard you want for yourself?*
What are you afraid might happen if you succeed?*
If you knew no one would judge you or rescue you, what choice would you make about your life right now?*

What matters to you

Name three things that matter most to you. Where is your life lined up with them right now, and where isn't it?*

Working together

If we worked together and you didn't get the results you wanted, how would you evaluate your own role in that outcome?*
The High Agency Intensive runs for 12 weeks on Zoom. What might get in the way of you showing up consistently, and how would you handle it?*
Is there anything else you'd like us to know before we talk?
A quick note on what coaching is: coaching is forward-focused. We work with where you are now and where you want to go, and you stay in the driver's seat. Coaching isn't therapy or counselling, and it doesn't diagnose or treat anything. If you're working through something that needs that kind of support, we fully encourage it, and coaching can sit alongside it.
Coaching isn't therapy*