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Client Interest Form
Thank you for your interest in life coaching with me! Please fill out this form before our first call so that I can customize our first session and start strong!
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Email
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Your email
What is your name and preferred pronouns?
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Your answer
Contact Information: Please provide your preferred contact phone number and email address.
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Your answer
Time to start over - transitions can be exciting, rough and all the emotions in between! What transition(s) are you working through right now? What would you like support with?
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Your answer
When you hear 'self care' what comes to mind? Is it a fancy buzzword or something you try to incorporate regularly?
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Your answer
Is there anything you want to let go of during this transition time? What about things you would like to embrace more of?
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Your answer
What are some of your favorite activities? What lights you up?
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Your answer
Have you ever participated in life coaching before?
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A copy of your responses will be emailed to the address you provided.
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