Simple on Purpose Coaching/Counselling

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Please fill out this intake form and then you will be directed to the booking link to set up a 15 minute consult call. There is no charge for this call, it is a time for us to hear from one another so we can consider if we are right fit to work together.

Email *

Name *

Email address *

Tell me a bit about your life in the present day

What would you like coaching/counselling on?

What outcomes would you like to have from working with me?

What is your experience with the following?

Done in the past

Currently doing

Want to do in the future

N/A

Coaching

Counselling

Clear selection

If you know your Enneagram type please list it below.

Would you prefer coaching/counselling from a Christian point of view?

Yes

Maybe

Clear selection

Any other comments?

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