Grounded Women Change the World™

Pre-Call Assessment

Before our call, I invite you to take a few quiet moments to complete this brief assessment. This is not a test — there are no right or wrong answers. This is simply a space for you to pause, reflect on where you are right now, and allow me to understand how I can best support you.

When you are ready, take a deep breath, and begin.

About You

First Name *

Last Name *

Email Address *

Phone Number

Where You Are Right Now

There are no right or wrong answers here. Honesty is the only thing that matters.

If you had to describe your current season of life in just three words, what would they be? *

e.g., Exhausted, Searching, Transitioning, Ready

What is the primary reason you decided to book this call today? *

Reflection

"There is a space between loss and becoming — and that is where we remember who we are."

When you read this, what comes up for you? Do you feel you are currently in that space?

The Five Pillars of Wellness

Our work together is rooted in a whole-person approach. Please rate how you are currently feeling in each of the five pillars.

1 = Deeply Struggling3 = Getting By5 = Thriving

Physical Wellness

Energy, sleep, movement, nourishment

Emotional Wellness

Resilience, managing stress, boundaries

Mental Wellness

Clarity, focus, observing thoughts

Spiritual Wellness

Values, purpose, inner connection

Social Wellness

Relationships, community, receiving support

Which ONE pillar feels like it needs the most immediate attention right now? *

Looking Forward

This is where we begin to imagine what is possible.

If we were to work together, what is the single biggest shift or transformation you would hope to experience? *

What is the biggest obstacle currently standing in the way of that transformation? *

Are there any specific questions you want to make sure we cover during our 30 minutes together?

Coaching is not therapy and is not a replacement for mental health treatment. If you are in crisis, please contact a licensed professional or call 988.

Ground. Embody. Lead.