Our Life Well Lived: Life Coaching Agreement

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

As your Life Coach, I, Leanne Hintz, am committed to assisting you with …
- goal-setting
- brainstorming / action planning
- obtaining / creating appropriate resources and supports

As the client, I trust that you are committed to …
- goal-setting
- brainstorming / action planning
- taking action
- staying accountable
- attending weekly meetings

***Please keep in mind, Life Coaching is not therapy or treatment for any form of mental illness.***

Client’s Full Name: *

Date of Birth: *

YYYY

Mailing Address: *

Phone Number: *

Email Address: *

Preferred Method of Communication (Please Check All That Apply): *

Phone

Mail

Required

When would you like to get started with your Life Coaching journey? *

What charity will you donate to (in exchange for four weekly coaching meetings)? *

What dollar amount are you committed to donating? *

Please select ONE of the following: *

I will submit donation, providing proof of receipt on or before our last coaching session for the month.

I will give money to Leanne Hintz, who will submit donation then provide proof of receipt on or before our last coaching session for the month.

Please select ONE of the following: *

I have read and understood the information provided above. I am READY to get started with my Life Coaching journey!

I have additional questions. I'm not quite ready to commit to Life Coaching yet.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms