The Whole You Coaching Interest Form

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Congratulations on investing in yourself in a way you may never have before. Saying yes to a coaching experience can mean showing up for yourself in a WHOLE new way - mentally, energetically, emotionally, and/or physically. Take a moment to tell us more about you and to determine if coaching is right for you.

Name

Phone

Briefly explain your motivation for seeking coaching at this time.

How do you feel?

I know what I want to do but need help

I feel stuck in my current situation (job, relationship, etc.) and can't move further

I feel overwhelmed but I can not pinpoint the problem

Other:

What will help you most?

Gaining confidence

Increasing self awareness

Healing and/or self-care

Learning career and/or leadership skills or tips

Learning stress management skills or tips

Other:

What's most important to you right now?

To fulfill my purpose

To fill a gap in my abilities

To feel safe, stable, and/or happy

To better manage my triggers or to manage conflict

Other:

What type of support appeals to you?

Someone to support me in developing capacities to deal with my current challenges and future goals

Practical advice and strategy development

Someone to support me in understanding how my past has shaped my current thinking/mindset

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