NEW COACHING REQUEST FORM
Hello Beautiful Soul! Welcome...

The aim of this form is to get to know who you are... no rights/wrong answers - It's just about sharing who you are and where you are on your journey now! In this way, I can also see how I may help you in our sessions.

All your details are confidential and only used for our sessions.
E-mail *
Your Full Name: *
Date Of Birth: *
Location (Town / City / Country) *
What is your occupation? *
Can you share the link/s to your website and/or social media? *
How did you hear about my work and services? *
Kötelező
Have you tried any coaching programs before? If YES, what was your experience like and what did you feel worked for you? *
Which coaching program are you interested in? *
Please tell me about your aims and goals for our sessions - Is there a specific area that you want to explore more of? And what sparked your curiosity about our program? *
At this moment in time, what is your biggest challenge with what you want to work on? *
Do you identify as a sensitive soul? As an empath/highly sensitive person? If YES, do you have any challenges with being sensitive? *
What inspires you in your daily life? And what drains you in your daily life? *
How often do you have time alone in your normal week?
(For example: 15-30 Minutes before bedtime, 1 Hour on my lunch break etc)
*
Do you share your home? (With flatmates, family, partner etc). The reason I ask is because this helps with exploring practical Self-care routines at home and in daily life. *
Please share your burnout journey - What have you experienced and where are you now in your life with burnout? Feel free to share anything from your personal journey that inspires or challenges you! *
Have you tried anything alone or with support on your burnout journey? Please share if you have and what did or didn't work for you. *
I LOVE to use different holistic tools for sessions - These are all tools that I use with my clients and blend both psychology and holistic health therapies together. Which ones (if any) would you be interested in using in our sessions? *
Kötelező
Do you have any health conditions and/or take any medication? *
Do you struggle with anxiety and/or depression? And if YES, do you have a therapist and/or medical professional helping you at this time? *
Do you agree to our terms and conditions?

Please check this on the website you are coming from:
https://purelyholistic.co.uk/terms
https://natura-academy.com/terms
*
Please feel free to share or ask anything that you think may be important for our sessions.
Once I read this form, I will get in touch asap by email to let you know what the next step is for booking. Thank you for taking this time to share!
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