Health Coach Intake Form Builder
Discovering an eating disorder history three sessions into a coaching engagement is a professional and ethical problem. Health Coach Intake Form Builder produces a phased intake — pre-qualification, detailed intake, agreements — that gathers what you need, screens for red flags, and sets coaching scope before session one. It builds intake paperwork. It is not clinical assessment.
What this skill does
Scope first. This builds intake paperwork for a coaching practice. It is not a clinical assessment, does not produce medical questionnaires, and explicitly screens for things that need referral to a clinician, dietitian, therapist, or doctor. The informed consent step is mandatory — every form includes language that coaching is not therapy, not medical advice, and not diagnosis. If the coach is also a registered clinical professional, they can add that layer to their own paperwork; the skill won't generate clinical-scope content on the coach's behalf.
Inside scope, the intake runs in three phases — not a single overwhelming form. Phase 1: Pre-qualification is five to seven questions before the prospect even books. Primary goal, what they've tried before, readiness 1-10, anything preventing a start in the next two weeks, how they found you. This phase exists to surface red flags early: "lose 30lbs in 6 weeks" signals unrealistic expectations, an eating disorder history needs scope discussion before any coaching agreement, active medical treatment for a related condition needs medical clearance or collaboration with the provider. Catching these now beats catching them in session four.
Phase 2: Detailed intake runs after booking, before the first session. Five sections: About You (lifestyle, schedule, living situation), Health History (conditions, medications, injuries, allergies, sensitive questions framed carefully — "have you ever had a complicated relationship with food" invites honest disclosure where "do you have an eating disorder" shuts it down), Current Habits (food, sleep, stress, alcohol, caffeine), Goals (including the "why behind the why" — "I want to play with my kids without getting winded" is motivation that sustains effort, "I want to lose weight" is not), and Preferences (communication style, feedback preference, what's worked with past coaches). The skill tailors Section B and C to the niche — nutrition coaches get food relationship history and cooking skill, fitness coaches get training history and equipment access, wellness coaches get a values assessment and energy audit, executive coaches get role and performance metrics.
Phase 3: Agreements runs before session one. Coaching agreement (scope, cancellation, expectations), informed consent explicitly stating coaching is not therapy and not medical advice, confidentiality commitment, photo/measurement consent if applicable, emergency contact, and medical clearance acknowledgement where the niche calls for it. For UK and EU coaches the skill adds GDPR-aware language — health data is special category data, explicit consent is required, the form includes a privacy statement on storage, retention, and the right to deletion. The skill also delivers the welcome email sequence (immediate welcome, pre-session prep 24-48 hours before, post-first-session summary within 24 hours after) and a red-flag guide for the coach — which responses require follow-up, referral, or scope conversation before the engagement starts.
When this triggers
- ·You're starting a coaching practice and need intake paperwork that isn't a clinical health-history form
- ·You've been winging the intake and want a phased flow with a separate pre-qualification step
- ·You need niche-specific questions — nutrition, fitness, wellness, executive performance
- ·You want the agreements page (scope, informed consent, cancellation policy) handled in the same flow
- ·You're collecting health data in the UK or EU and need GDPR-aware language
Example
Trigger
Coach: 'New nutrition coaching practice. Need an intake form for clients before our first session. UK-based. What do I ask, what do I avoid?'
Output
This builds intake paperwork. It is not clinical assessment. It explicitly screens for things that need referral (eating disorder history, active medical treatment, pregnancy). PHASE 1 — PRE-QUALIFICATION (5-7 questions, before booking): · What's your primary goal in working with a coach? · What have you tried before? What worked / didn't? · Readiness 1-10 · Anything preventing you from starting in the next 2 weeks? Red flags surfaced here: "lose 30lbs in 6 weeks", eating disorder history, active medical treatment for related condition. PHASE 2 — DETAILED INTAKE (after booking): A. About you (lifestyle, daily schedule, living situation) B. Health history — meds, conditions, allergies, injuries, "Have you ever had a complicated relationship with food?" (sensitive framing) C. Current habits (food, sleep, stress, alcohol) D. Goals + the "why behind the why" E. Preferences (feedback style, communication channel) PHASE 3 — AGREEMENTS: Coaching agreement. Informed consent ("coaching is not therapy, not medical advice"). GDPR data statement (special category data for UK/EU health info). Cancellation policy. Plus 3-email welcome sequence.
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- 211-line SKILL.md, ready to drop into ~/.claude/skills/
- Tested through 3 Karpathy-loop iterations (versions v1.0.0 → v1.3.0)
- Triggers automatically when relevant — no command to remember
- Lifetime updates as the skill is refined further
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