Get Started Free
🧭 Coaching & Consulting

Free Coach Client Background and Wellbeing Intake

Collects a client's sleep, energy, stress, health context and current support before coaching starts, so the plan respects what the body already carries.

Background + capacity
Plain-language items
Session-ready summary
Live Preview

Quick answer

Collects a client's sleep, energy, stress, health context and current support before coaching starts, so the plan respects what the body already carries.

💡

About this template

A coaching plan built on an empty tank fails in week three. This intake captures the practical context that determines capacity - sleep, energy, workload, health flags, existing professionals involved and life circumstances - before goals are negotiated. It is explicitly not a clinical assessment; it tells the coach how much load the client can carry and when to refer on.

🗂️

Template at a Glance

TemplateWellbeing and Background Intake Form
CategoryCoaching & Consulting
FormatStructured intake form with review-ready summary
Time to completeAbout 10 minutes per response
What you getStructured, timestamped responses you can review, export or keep for audit
Best forNew client onboarding · Burnout and stress coaches · Practices with referral duty
CostFree to copy and customize on FormLM
🖥️

Live Preview

Sample form preview (fillable once the app is published).

loading...
…
Fill it in to see how responses flow.
📦

What's Included

What you get when you copy this template.

1

Capacity baseline

Sleep, energy and stress rated plainly.

2

Life and work context

Commitments, changes and support around them.

3

Health and referral flags

Existing conditions and professionals noted.

4

Expectations

What the client wants from coaching, in their words.

🧭

How It Works

Four steps from copy to a usable result.

1

Send on enrolment

Before the first session, not during it.

2

Client answers honestly

Plain items, no clinical language.

3

Check the flags

Anything that belongs with a professional, not coaching.

4

Right-size the plan

Set cadence and load against capacity.

👥

Who Is This For

Where this fits in a coaching practice.

1

New client onboarding

Know the load before designing the work.

2

Burnout and stress coaches

Anchor the plan in real capacity data.

3

Practices with referral duty

Keep the "not clinical" boundary on record.

⭐

Key Features

What makes it work as a professional deliverable.

📝

Sample Questions Inside

Real items from the template - every field stays editable in your workspace, and responses are archived per submission.

  1. Average sleep and energy over the last month (text + scale)
  2. Current stress level, 1-10 (scale)
  3. Main life and work commitments right now (open)
  4. Health conditions or supports a coach should know about (text)
  5. Other professionals you are seeing (text)
  6. What do you want from coaching? (open)
  7. What time of day do you function best? (choice)
❓

Frequently Asked Questions

Is this a medical questionnaire?
No. It captures practical context for coaching and states plainly that it is not a clinical assessment.
Why ask about sleep and energy?
Capacity sets the pace. A plan that ignores a depleted client produces missed sessions, not faster results.
What if a flag needs clinical care?
The form records who is already involved so the coach can refer on and coordinate instead of overlap.
Is it GDPR-friendly?
It collects only coaching-relevant context, and you control retention in your workspace.
Can I add my own items?
Yes - every question is editable, including niche-specific capacity checks.
Do clients fill it in alone?
Yes, before the first session, which usually surfaces the two or three items worth discussing live.

Run Wellbeing and Background Intake Form with your next client

Copy it into your workspace, customize, and share — free to start.