Before We Begin

Let's start with who you are

Every gathering begins before the room fills. Before we meet, I want to know a little about you — not just your name, but how you got here.

First Name

Last Name

Email Address

Pronouns (optional)

How did you find your way here?

Your Why

What brought you to this door?

Every meaningful gathering starts with a clear purpose. I want our time together to matter — so tell me what's actually prompting you to reach out right now.

What's happening in your life right now that made you reach out?

Which of these feels closest to where you are?

✓ I feel stuck Something's not working and I'm not sure why — I keep running into the same walls. ✓ I'm in a transition Something is shifting — in my identity, my relationships, my path — and I need space to figure it out. ✓ I want to grow intentionally Things are okay, but I know there's more — I want tools to go deeper on purpose. ✓ I want to understand myself better I'm curious about my patterns, my parts, my story — and ready to look honestly.

The Outcome

If this goes better than hoped —

One foundational question shapes everything we do together: "What needs to exist at the end of this that doesn't exist now?" Your answer helps me design the right experience for you.

Imagine our work together has gone better than you could have expected. What's different? What can you do, feel, or see that you couldn't before?

What would a meaningful "win" look like to you — even a small one — after our first session or workshop?

How urgent does this feel to you right now?

Not urgent — I'm exploring Very urgent — I need this now

Your History

What have you already tried?

Understanding where you've been helps me meet you where you actually are — not where I assume you might be.

Have you worked with a coach, therapist, or similar guide before?

✓ Yes — it was helpful ✓ Yes — mixed results ✓ Yes — it wasn't a fit ✓ No — this is new for me

What has helped you in the past — even partially? What hasn't?

What do you think has been getting in the way?

The Space

How do you show up in a room?

A facilitator's job is to create the conditions for people to be fully present. I can only do that if I know what you need to feel safe, seen, and ready to do real work.

What type of experience are you drawn to?

✓ Group Workshops I want the energy and perspective of others doing this work alongside me. ✓ 1-on-1 Coaching I need a private space to go deep without an audience. ✓ Both — I'm open I'd love your guidance on what makes the most sense for where I am.

How do you usually show up in group settings?

✓ Observer first I listen before I speak. ✓ Engaged early I dive in quickly. ✓ It depends On the topic, the people, the vibe. ✓ Groups feel hard I'm working on being more present with others.

What does a facilitator need to know to help you feel safe enough to do real work?

One Last Thing

What do you want me to know about you that no form would think to ask?

Every intake form has limits. This question is yours to fill in however you want — or leave blank. But in my experience, people always have something worth saying here.

Anything goes.

When are you generally available? (optional)

How ready do you feel to begin?

Still figuring it out Ready to start now

✦

Thank you for showing up

This took courage — the act of filling out a form like this is already the beginning. I've received everything you shared and will be in touch within 48 hours to talk about next steps.

A note from Nessrin

"I am committed to you finding your path. It is a privilege to even be considered as a part of that journey. Talk soon."