- Tess Vergara, Soul Powered Executive Coach

Before we meet, I want to understand where your speaking and leadership are actually divided — not a summary of it. Most speakers don’t need to become better speakers. They need greater alignment. This intake is designed to help us find exactly where yours is.

Take your time. There are no wrong answers. I will read everything you write before our session.

Your name

Section 2 — Internal Agreement Check

Where do you feel the most friction or hesitation in your speaking?

Messages you soften or hold back A speaking identity you’ve outgrown Waiting for permission to own your authority Saying yes to stages that don’t actually fit

What does the friction sound like internally?

Section 3 — Energy Leaks

Where do you feel depletion without clear explanation?

Emotionally Mentally Spiritually Physically

Where does it show up most in your speaking life?

Section 4 — The Leadership Split

Where do you notice yourself divided?

One part wants to be fully seen. Another is still asking for permission. One part knows exactly what to say. Another softens it for the room. One part is ready to claim the stage. Another is still waiting to feel ready. One part is clear on the mission. Another is chasing what gets applause.

Describe the contradiction as honestly as you can

When the pressure of speaking gets stressful, what do you usually do first?

I act. I book more stages, create more content, do more outreach. I think it through. I refine my message, rework my offer, analyze what’s not working. I feel it out. I process, talk it through, wait until I feel okay to move. I wait for clarity. I need to know it’s aligned before I take the next step.

And when you do that first thing — does it usually fully resolve the situation, or do you end up circling back to it later?

Section 5 — Where the Split Is Showing Up

Which of the three Leadership Splits™ resonated most with you?

Identity vs. Performance — performing a version of myself I haven’t fully inhabited Message vs. Mission — saying what I think people want instead of what I’m called to teach Visibility vs. Validation — pursuing stages to prove I’m enough

What are you maintaining in your speaking that costs more than it should?

Section 6 — Alignment Signals

Where do you feel your truest message trying to emerge — but not yet fully expressed?

What do you already know about your speaking that you haven’t said out loud yet?

When clarity about your speaking does show up, how does it usually arrive?

Where You Are Right Now

Which of these most closely describes your speaking right now?

You don’t need to be certain. This is your best read on yourself — a starting point for our conversation, not a conclusion.

I’m mostly clear on my message and direction, but something feels off in how I’m showing up. I can sense the gap — it just hasn’t changed yet.

I can deliver and function, but it’s taking more out of me than it should. Something is draining me that I can’t fully explain or resolve.

Something fundamental about how I’m speaking or positioning myself no longer fits. I’ve been managing it for a while, but I know the current path isn’t sustainable.

Quiet Knowing Optional

When you get quiet about your speaking, what feels true right now?

Context Optional

Is there anything about your faith, spirituality, values, or worldview that shapes how you approach your speaking?

Before We Begin

Complete this sentence:

If this session changed one thing about my speaking, it would be

Anything Else Optional

Is there anything you want me to know before we begin?

✓

Thank you.

I’ve received your responses.

I’ll personally review everything you’ve shared.

If it looks like we’re a good fit for a Leadership Split™ Breakthrough Session, I’ll send you a private scheduling link within 2 business days.

I don’t believe everyone benefits from the same next step, so I review each intake personally.

Thank you for taking the time to answer thoughtfully.

— Tess