Adelie Coaching Client Application
I'm so glad you're interested in working with me! Let me know a little about yourself and I'll get back to you about whether we're a good fit to work together.

If you get stuck or bogged down on any part of this, skip it (unless it's your name or your email). It's meant as a support to both of us in working well together, not as a barrier to getting in touch.
Sign in to Google to save your progress. Learn more
Email *
What's your name? *
How did you hear about me?
What's going well in your world right now?
What's going on that has you considering coaching?
What draws you to working with me, specifically?
What would set you up for success in coaching?
How much time do you have available for coaching - both in terms of actual sessions and in working toward change in your life between sessions?
What's your monthly financial budget for coaching? (Please be honest here, and give me a number that won't encroach on feeding or housing yourself - I want this to work for both of us and I'm more able to make that work if I understand your situation.)
What questions do you have for me?
What else do you want me to know about you?
What have you learned as you've filled out this application? What might you do with that learning?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Karen Degi. Report Abuse