Pre-Coaching Intake Form
The Current Situation
Where are you in the divorce process right now? (Choose one)*
Contemplating / Just Separated
Negotiations / Mediation Stage
Litigation / Heading to Court
Finalized (Post-Decree Support)
How would you describe your current level of stress/overwhelm on a scale of 1 (calm) to 10 (crisis)?*
Select One
1
2
3
4
5
6
7
8
9
10
In one sentence, what is the single biggest challenge or emotional block you are facing today?*
What is the status of your relationship with your soon-to-be ex-partner?*
Select One
Amicable/Cooperative
Difficult/High-Conflict
No Communication
Household & Assets Overview: To help us understand your current situation more clearly, please provide some brief background:*
Do any minor children currently live with you?*
Yes
No
If yes, list their ages
Are there any pets involved in your household or shared care?*
Yes
No
If yes, please describe (type, name, etc.):
Do you and/or your spouse currently own any real estate assets (e.g., home, land, rental property)?*
Yes
No
If yes, please briefly describe:
Do you and/or your spouse have any financial assets (e.g., savings, retirement accounts, investments, business interests)?*
Yes
No
If yes, please briefly describe:
Team & Resources: We need to know who is on your team to ensure clear boundaries and roles.
Do you currently have legal representation (an attorney)?*
Yes
No
Do you currently have a mental health professional (Therapist/Counselor)?*
Yes
No
What is the primary way you want the coaching to save you time and/or money?*
Select One
Organizing paperwork for my attorney
Learning to communicate efficiently
Strategic financial planning/budgeting
Mindset and boundary setting
Coaching Commitment & Readiness*
Are you prepared to commit to the time and effort required to move forward strategically?*
Yes, I am fully ready to be decisive and take action.
am ready, but I need significant help overcoming procrastination/fear.
Do you understand that Forward Focus Coaching is NOT a law firm and does NOT provide legal or therapeutic advice?*
Yes, I understand the clear role of a Divorce Coach.
Confidentiality Statement: All information shared in this intake form and during our sessions is kept strictly confidential, as outlined in our Privacy Policy. We are committed to protecting your privacy and ensuring a safe space for your strategic growth. Thank you for completing the Forward Focus Coaching Intake Form!
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Ashley Alred
USA
*
•
Ashley@ashleyalred.com
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