Stroke Recovery Coaching Assessment
After you fill out this assessment, I will contact you to go over details and availability before we schedule our first appointment. Please feel free to email me directly at Wendy@OurSoulOasis.com if you don't hear from me within 48 hours.
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Email *
Are you a stroke survivor or a caregiver? *
When was the stroke? *
Please give me a few details: Date, side affected, kind of stroke:
Why do you feel coaching would be good for you? *
What are your top 3 goals for recovery? *
Contact info
Your name *
Phone number *
Preferred contact method *
Required
Questions and comments
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