#2 - House of Ganiyah Client Intake Form
Please take a few minutes to complete this form ahead of your session with Tope Fajingbesi.
Sign in to Google to save your progress. Learn more
What type of package are you signing up for?
Clear selection
Name *
Email Address *
Telephone Number *
Date of Birth *
MM
/
DD
/
YYYY
Current Occupation *
Employer Name *
I have taken the MBTI personality test at www.16personalities.com (takes only 10 minutes.) My four-letter personality type e.g ENFJ, INTP, ESTJ etc is ______
I have taken the money color quiz at: www.ourfinancialcoach.com/moneycolor. My count/scores for each alphabet are as follows: *
How satisfied are you with your current working conditions? Pay, career level and alignment with your purpose? *
Do you enjoy your job? If yes, what specifically about it do you enjoy. If no, what specifically about it do you find unsatisfying? Do you feel that you are doing what you are called & created to do aka ‘living your dream’? *
What are the reasons (problems, challenges, circumstances) that brought you here (to work with a coach)? *
Is there any link between your past experiences/relationships and this present challenge? *
What is your relationship status? *
Are you happy with your relationship and/or relationship status? Is it fulfilling? What could make it more fulfilling? *
In the next 5 years, I hope to have accomplished the following goals.
Which areas of your life are you most concerned about right now? *
Required
What are you most grateful for in your life? *
What frustrates you most about your life? *
What do you like about yourself? What don’t you like about yourself? *
Do you have any anger, resentments or unforgiveness towards any person, place, thing or situation (including God)? Why? *
What would you like to be different, better or more in your life? *
When was the last time you went on vacation alone? Where did you go and how was the experience? *
What are your expectations from your upcoming RELEASE session? What do you hope to achieve or learn? *
I understand that I have to pay the session fees before my scheduled consultation or my appointment will be cancelled. *
I have scheduled/will schedule my appointment at: https://calendly.com/tfaj17/thrive *
For Corporate/Employee Participants Only: I have read case study #1 - Arthur Andersen Nigeria and United for Kids Foundation at: www.ganiyah.com/AndersenUkf *
For Corporate/Employee Participants Only: I have read case study #2 - Culture of Good at TCC at www.ganiyah.com/tcc  *
Please share any other relevant/important comments, concerns or information you have below.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Our Financial Coach. Report Abuse
Google Forms