Self-Esteem Coaching Intake Form

Build Confidence with a Self-Esteem Coaching Intake Form

Starting a self-esteem coaching relationship requires deep understanding and trust. This Self-Esteem Coaching Intake Form template gives life coaches, wellness practitioners, and therapists a structured way to assess where clients are on their self-worth journey—and where they want to go.

Whether you're working with individuals struggling with confidence, comparison habits, or negative self-talk, this intake form captures the nuanced details that help you tailor your coaching approach from day one.

Designed for coaches who work with self-worth and confidence

This template is ideal for life coaches, business coaches, health coaches, therapists, and counselors who specialize in self-esteem, confidence building, and personal development. It's also valuable for wellness centers, coaching agencies, and solo practitioners building their practice around empowerment and mental wellness.

The form covers everything from current self-perception and insecurity triggers to social comparison patterns and aspirational self-love goals—giving you a complete picture before your first session.

Paperform makes intake feel personal, not clinical

Unlike rigid survey tools, Paperform's doc-style editor lets you create intake forms that feel warm, welcoming, and on-brand. Mix in supportive copy, images, and thoughtful question flows that put clients at ease. Use conditional logic to show follow-up questions only when relevant, keeping the experience smooth and respectful of their time.

Once submitted, responses flow directly into your CRM, Google Sheets, or project management tool—and you can even use Stepper to automate follow-up emails, schedule first sessions, or trigger onboarding workflows so nothing falls through the cracks.

Go further with Papersign and payment integrations

After intake, send coaching agreements or consent forms for eSignature using Papersign, keeping everything linked to the original submission. You can also collect session deposits or package payments upfront by connecting Stripe or PayPal, streamlining the entire client onboarding process into one seamless flow.

Trusted by coaches and wellness professionals worldwide, this template helps you start every coaching relationship with clarity, compassion, and confidence.