Life Coaching

Please take a moment to share some information about your current wants and goals from coaching so that I can provide you with the best, personalized action plan. 

Connecting with me is 100% private and takes just 60 seconds. Once completed, I will be following up with you within 24-48 hours for next steps.

Look forward to hopefully working with you! 

- Adam 

**DISCLAIMER:  If you or someone you know are in immediate need of mental health crisis support call the national mobile crisis line at 988, call 911, or go to the nearest emergency room.**
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Email *
First and Last Name *
Phone Number *
How did you hear about my coaching services? (online search, referred by someone, etc.)
 *
Please provide a brief description of what you hope to get out of coaching at this time:
 *
What lead you to seek out coaching now? *
What do you feel your role is in your current struggles? Why do you think you haven't been able to yet achieve your goals? *
Have you, or are you currently, receiving mental health treatment from a licensed therapist or counselor? (if yes, please provide when and for how long you received treatment) *
Are you currently struggling with any of the below risk factors? *
Required

Fellowship Coaching & Consulting is not a medical or behavioral healthcare service and therefore does not qualify for any insurance benefits. Payment if required in full at time of service. 

Virtual Coaching Session, 45 minutes: $275

Coaching Support, per 5 minutes: $35

(direct text/voice memo access to your coach as needed)

Do you understand and agree to the fee requirements?

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A copy of your responses will be emailed to the address you provided.
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