Joyful EF Executive Functioning Intake Questions
Hi! Thank you for taking the time to help me get to know you a little better and make sure that I am a good fit for your needs. Please write as little or as much as you wish to share. All responses will be kept strictly confidential.  Expect to hear back from me within 48 hours. 
Google にログインすると作業内容を保存できます。詳細
Your full name  *
Email and phone number I may use for communication with you. Please place a star next to the method you prefer.  *
Which package are you most interested in signing up for at this point?  *
Would you like to have a free 20 minute introduction meeting first? If you indicate yes, I'll reach out so we can schedule that.  *
What changes would you like to see in your life as a result of working with me? *
What are the top 3 things that you feel are hindering you from success with the changes you cited above?
What steps have you already taken to help yourself or get help with the topics you described above? How did those steps work for you?
What are the top 3 qualities of a coach you think would work best with you? *
Would you like to share anything else with me that you think is important to me understanding what you are looking for and what you need?
After receiving this information, I will get back to you in 48 hours about next steps. If I determine that I am a good fit for you, I will send you a link to my scheduling app and an invoice for services. Would email be the best way to send those details? *
Should we work together, do you understand the following?
1. Payment must be received in full prior to our first session and confirms your commitment to our time together.
2. If you have paid for a 6 session package and do not wish continue after the first session, a refund (minus a $300 single strategy session fee) is available if requested within 24 hours of our initial session. 
3. A great deal of energy, time, thought and heart goes into preparing for and being present on our calls together. For that reason I do not issue refunds for single strategy sessions or sessions missed or cancelled without 48 hours prior notice. 
4. I cannot guarantee specific results because I am only part of that equation. The other part depends on your openness and the way you implement what we cover in our sessions. Coaching works best for individuals who take full responsibility for their own well-being.
5. Coaching is not a substitute for professional treatment for clinical disorders, trauma counseling, or physical health concerns. Clinical and health issues should be treated by a licensed professional and coaching can be an excellent complement to that treatment plan.  
*
送信
フォームをクリア
Google フォームでパスワードを送信しないでください。
このコンテンツは Google が作成または承認したものではありません。 不正行為の報告 - 利用規約 - プライバシー ポリシー