Get to Know You Form
Hey Great Human,

Well done for making it here! 

This is your first step and often the hardest, so congratulate yourself for taking control of your life and creating lasting change.

Coaching is a transformative experience that helps you unlock what is holding you back from living the life you truly desire. 

Please answer the following questions honestly and in as much detail as you can so we can fast track you to becoming the best version of yourself. 

If you get stuck with any question, that is ok. Take your time and use this as an opportunity to reflect. It is not a test; it is to see where you are at and to help you get the most out of your sessions.

I am so excited to be working with you and to witness your growth first hand. I truly believe that the day you decide to commit to yourself, is the day you truly start living. 

Chat soon!

Krystle O'Neil
Nourish our Minds
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Email *
First name *
Last name *
Your preferred name whilst being coached *
Date of Birth *
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Contact Number *
What's App Contact Number *
Postal Address *
Gender *
Marital status *
Occupation *
Children's names and ages if applicable
How did you hear about Nourish Our Minds? *
What is the primary reason/concern that has brought you to work with Nourish our Minds? *
How long have you been experiencing this for? *
Choose 3 areas of your life you would like to focus on: *
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Tick up to 5 results you would like to achieve *
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What support do you need in order to create the results you want?   
How important is it for you to get these results? Why?  
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List the most important people in your life and their relationship to you
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Close your eyes and check in with your body. How do you currently feel? 
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When do you feel least confident? Why?
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What thoughts about yourself do you keep having?
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What will happen if you don't change?
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