Client Intake Form: Singles | The Perfect Partner

Tell me about your last relationship

How long have you been single?

Why did your last relationship end?

What do you want to be different in your next relationship?

What would your previous partner(s) say you need to work on?

If I spoke to your last partner, what would he say he appreciates about you?

What do you miss most about being in a relationship?

Why do you want to be in a relationship?

Let's talk about your dating and relationship challenges.

What are your biggest challenges when it comes to dating and relationships?

If you could wave a magic wand and remove your biggest dating struggle, what would it be?

What specific issues or concerns do you struggle with when dating? (check all that apply)

Knowing what to look for in a partner

Navigating dating (setting expectations, communicating, getting to know the person)

Communicating my needs

How to know if he is the one (i.e. red flags)

What don’t you enjoy about dating?

Tell me about your dating and relationship goals.

What are your dating and relationship goals?

What do you think you need to do better or differently to reach your dating and relationship goals?

Describe your ideal partner.

Just a couple of more questions.

What are you looking for in a coaching relationship? How can I best support you as your coach?

Anything else you want to share?

Thanks for submitting!