Coaching Intake | Riccardo Manazza

Question 01

First, what should Rico call you?

Use the name you prefer in conversation.

Preferred name

Question 02

Where should coaching information be sent?

Your email will be used only to respond to this coaching inquiry.

Email address City or time zone, optional

Question 03

What would you like to create, change, or move forward?

Choose one outcome that feels important now. It can be personal or professional.

The outcome I want

Question 04

Why does this matter now?

There is no perfect answer. Write what feels true.

Why now

Question 05

If these six weeks were genuinely useful, what would be different?

Think about what you would notice, do, decide, or feel more capable of handling.

The difference I would notice

Question 06

What tends to get in the way?

Select the closest answer. You can add context in the next question.

Overthinking or second-guessing Inconsistent habits or follow-through Fear, pressure, or avoidance Too many priorities or unclear direction A transition or difficult decision Something else

Question 07

What have you already tried or noticed about this pattern?

A few sentences are enough. Please do not include medical, financial-account, legal-case, or other highly sensitive information.

What I have tried or noticed

Question 08

How ready are you to participate honestly and take action between sessions?

This is not a score of your worth. It helps us have an honest conversation about timing.

Not ready yetVery ready

Question 09

What kind of support helps you do your best thinking?

Choose as many as apply.

Direct questions Space and silence Clear accountability Gentle challenge Written reflection Practical next steps

Question 10

One final scope and privacy check

Coaching is most useful when the role and expectations are clear.

I understand that coaching is not therapy, counselling, diagnosis, crisis support, legal advice, financial advice, or real-estate representation. I will seek an appropriate qualified professional for needs outside the coaching scope.

I understand that this prototype keeps my answers only in this browser page. Nothing is sent until I intentionally choose to open and send an email to Rico.

Review

Review your coaching intake

Your answers have not been sent. Review them below, then choose whether to open them in your email app.

Email is not an emergency or crisis-support channel. If you are in immediate danger or need urgent mental-health support, contact local emergency or crisis services.

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