Pre-Client Application

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I'm so excited about the possibility of working together! Please take the time to answer these questions. This form will help me see if we are a good fit for each other. If we are, you will receive a text message from me.

| Refined Life Coaching is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. |

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E-post *

First and Last Name *

Phone number(Please include area code) *

Where are you located? *

What currently triggers your stress/unhappiness/anxiety/depression/self-doubt? *

Work ("I'm unhappy with my job.")

Relationships ("The relationships in my life are unfulfilling.")

Relationship to self ("I feel like I'm just going through the motions, not experiencing my life")

Other

What are your biggest challenges that you would like support with? *

How do you WANT to feel in the next 60 days? *

How did you find me? *

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