Coaching Intake Form Your name please... * First Name Last Name And your email address is.... * Email What's the best number for your coach to reach you at? * (###) ### #### We want to send you beautiful mail. May we have your address? * Address 1 Address 2 City State/Province Zip/Postal Code Country If you feel comfortable sharing your pronouns, we'd love to hear them. She/Her He/Him They/Them My pronouns are not on this list I'd rather not say This coaching package is intended for adults, though we sometimes make exceptions for very mature teenagers. Let us know if you're 18 years of age or older. * Yes, I'm 18+ I'm under 18 Do you remember where you first heard about Firefly? Google Facebook Word-of-mouth Flyers or business cards I walked past your storefront on the Danforth I can't remember If a human referred you to us, tell us who so that we can thank them. Have you read and agreed to our writing coaching financial policies? You can open them in a new tab by clicking here. * Yes, I agree. If you need all written text sent to you in a screen-reader-friendly format, please let us know here. Yes, please send all written text in a screen-reader-friendly format. Which coaching package are you signing up for today? * New Sprouts The Messy Middle Home Stretch Baby Diving Into Your Draft I don't know yet! What do you love to write? Check as many as apply. Yes this list is ridiculous. Stories about my life and my ideas A novel Short Fiction Blog Posts Poems scribbled on napkins Sonnets Love Letters Holiday Letters Emails to my friends Rants and Raves Songs Tweets Academia Erotica Screenplays Stage plays Radio plays Speeches for politicians Travel writing Journal writing that I hope no one will read My memoirs Shopping lists My dreams I don't know yet Have you ever worked with a coach before? Yes No If you answered yes, what kind or kinds of coaching have you done? Writing Coaching Life Coaching Career Coaching Athletic Coaching Business Coaching Other Tell us about your wishes and goals for the next three months. Be as razor-precise or as wishy-washy as feels right. We love both, and we're getting to know you. Bear with us on this one, we just really enjoy asking it. If you could eat ANY meal with ANY person tonight, living or dead, who would it be? Feel free to give us a few. (We're not making dinner reservations, we're just learning about who you are.) Finish this sentence: "I'd be writing a lot more if...." Finish this sentence: "I'm looking for a coach who..." Finish this sentence: "I'm nervous that my coach will..." Finish this sentence: "To me, writing is all about...." Finish this sentence: "One thing my future coach should know about me is..." Now on a much more practical note, tell us a little about any quirks in your availability. Are you only available weekends and evenings? Do you only work on Monday mornings? Fill us in. We like to match coaches with content that is a great fit. Tell us some of the themes, ideas or questions your work is exploring. If there's anything in your work someone might find hard or triggering to read — abuse, bigotry, etc. — let us know that too, so we can make sure your words in the hands of someone who can fully hold them. * This part is optional, but we'd love for you to copy and paste a small sample of your work here, to give your coach a little window into what happens when you sit down to write. She'll read up to 2,000 words. This isn't for critique, just context and clarity. Now tell us a little about this piece. Is it brand-new? Is it an excerpt? How long has it been around? Does it feel finished to you? What's the MAIN reason that you wrote this? Is it memoir or fiction or a little of both? It's entirely memoir It's entirely fiction It's a blend OK, lovely person! We are nearly done. Within a few days, you'll hear from Heather the "Coach Concierge." If there is ANYTHING you want us to know, see or understand about you at this juncture, lay it on. We're listening. Thank you!
