Coaching by Chloe - Interest Form

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Hello there! I'm so glad you're (virtually) here. I have been eagerly waiting for someone like you - someone who is seeking to make positive changes in their life. Even though this form may seem small, it can be the first step towards achieving amazing things that you may never have thought possible.

I want to commend you for taking the time to prioritize your needs and for considering how you can become the best version of yourself. You should feel proud of yourself for being curious and willing to step out of your comfort zone in order to overcome the obstacles currently on your path.

I understand that personal growth and self-improvement can be challenging. It requires vulnerability, bravery, and a growth mindset, especially when things don't go as planned. It's important to believe in yourself, even when you may feel fear, guilt, or shame. I can hep you with identifying and changing limiting beliefs, old patterns, and support developing core values.

As your coach, I am here to support you and provide guidance towards achieving your goals. I have helped hundreds of clients of all ages and backgrounds in personal, professional, and spiritual development. Even if we are not a good fit, I am committed to helping you find the right resources to support your growth.

Lastly, please note that any information you share will remain strictly confidential. I will not share it with any other coaches or professionals without your explicit permission.

**To learn more about Chloe, coaching, or anything else, please click here to visit my website!!**

Email *

Name (First & Last) *

Phone Number *

Don't worry - I won't call you unannounced or anything. :)

How did you hear about my coaching services? *

Online

Through a friend/family member

I know you from a past life (we used to work together, we're friends, etc.)

Other:

What type of coaching or mental health services have you participated in before? *

Coaching (life coaching, leadership coaching, business coaching, etc.)

Individual therapy or counseling

Couples counseling or family therapy

NONE - this is my first time seeking 1:1 support!

Other:

Required

Availability
*

We'll have a free consultation call together to make sure we're both fully aligned and comfortable before moving forward. When would be the best time for us to chat? Please list a few potential options. For example, "Wednesday evenings, Thursday mornings, and weekends."

What area(s) would you like to receive coaching in? *

Perfectionsim

People-pleasing

Burnout

Imposter Syndrome

Self-Compassion

Self-Confidence

Goals

Overall Health

Mindset

Relationships

Spirituality

Professional Development

Gaining a Sense of Direction

High-Functioning Anxiety or Depression (this means you're getting out of bed, you're getting things done, you're going through the motions, people think you're put together, but for a month or two you haven't been feeling like yourself... You're "in a funk." If you currently have a hard time completing simple daily tasks due to your mental health, if you've been feeling significant anxiety or depression for more than two months, or if you have thoughts of self-harm, please seek a therapist over a coach. Call 988 if you are actively experiencing a mental health crisis, especially if you are having thoughts of death or suicide. You matter and are not a burden.).

Other:

Required

What length of service are you looking for? *

Short term -- I need someone to lean on for just a few weeks or months (often for those who want to be guided through a specific situation)

Long-term -- I need support for 4+ months (often for those seeking a more permanent change/personal evolution, or for those who need support with multiple scenarios in life)

As-Needed -- I just need one session or a small handful of coaching sessions

I'm not really sure yet! That's why I want to talk to you.

Other:

What else would you like me to know?

If you'd like, use this space to share more nuanced information about what you're currently experiencing.

For example, what made you decide to finally take the plunge and reach out (I know from personal experience that confiding in a stranger can be hard)?
What background information would be helpful for me to know?
What changes would you like to see in yourself after your coaching experience?
You are really free to share whatever you'd like here. :)

THANK YOU SO MUCH FOR YOUR INTEREST!

I really look forward to connecting with you soon! Within the next 1-2 business days, I will be contacting you via email and/or text. We will set up a more formal (but still free) consultation chat so that we are generating a plan that best suits your needs. Thanks again for putting yourself and your needs first today by filling out this form - I can't wait to watch you grow!

** To learn more about Chloe, coaching, or anything else, please click here to visit my website!! **

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

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