Private Coaching Intake Form

Congratulations on signing up for private coaching with Amanda Abella. With this intake form, I’ll get a better idea of your background, history, goals and objectives so we can create a customized plan for you.

Name(Required)

Birthdate:(Required)

What was your parents' relationship like?(Required)

Our parents are the first model we have in life for relationship dynamics, so it's important to understand what someone experienced while growing up. If your birth parents did not raise you, then write about your primary caregivers.

What have been your relationship experiences up until now?(Required)

Please be as detailed as you feel comfortable.

What is your current relationship with faith and/or religion?(Required)

Did you grow up in a religious household? What did you observe about relationships in that religion? Did you leave a religion? Do you have a different religion or spiritual practice now?

Have you done professional therapy? What worked? What didn't?(Required)

How far have you gone down the relationship rabbit hole on YouTube? What has been helpful? What is still confusing?(Required)

What are your current beliefs about relationships and men?(Required)

What are your current beliefs about money? Making money, saving money, etc.(Required)