Single Session Coaching
Thankyou for your interest in 1:1 coaching. Please take a moment to answer the following questions . 
For all information, including rates and FAQ's, I strongly encourage you to read this first.

If you are interested in the Midlife Rebel Coaching Program, please click here.

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Full name *
DOB *
Today's date *
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Email *
Phone number *
Address (including state and country) *
What is your postal address? (if different to above)
Give me a bit of a summary of where you're at in life, love, relationships, work...
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What would you most like to achieve from coaching? *
Have you worked with a coach before? (this is not a requirement to work with me!) *
Imagine you're living the life you want in 6 months time. What needs to happen to bring this vision to life?
Coaching is an investment in YOU. How do you feel about prioritising you at this time?
Is this the first time coaching with me (OR if you're a previous client, has it been more than 3 months since our last session)? If yes, the Initial Session is 1.5 hours. *
Which session are you booking? (*Compassion Rate is self-nominated and no proof required. Please see more here). 
All prices AUD
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How did you find out about me?
**If you found out about me from Word of Mouth, please let me know who it was so I can thank the fabulous human!
If not already done, I will be in touch to schedule your session - would you prefer Zoom or in person? *
Would you like to join the Midlife Rebel newsletter?
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Confidentiality

As your coach, I recognise you may have the following: future plans, business affairs, customer lists, financial information, job information, goals, personal information and other proprietary information. I will not at any time use any of this information for my benefit or disclose any information to a third party. I will also not divulge that you and I are in a coaching relationship without your permission.

Disclaimer

I acknowledge that coaching is not therapeutic in nature or intent and does not deal in health, abuse or relationship issues for which counselling or therapy might be appropriate. I will not hold Robyn Patton Life Coach in any way responsible for my experience with any of the coaching programs and practices. The client is a creative and resourceful individual and the expert in their personal and professional life - the client chooses to take action and any results of those actions are the full responsibility of the client. 

Please tick the box to agree.

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