First Name
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Last Name
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Email
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Phone
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Client Gender
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Age
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Location/Time Zone
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Emergency Contact Name
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Emergency Contact Phone
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Financial Contact Name
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Financial Contact Email
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Do you know which coach you want to work with?
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Coach's full name:
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Which center or organization referred you to coaching with Being True To You?
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Describe your current situation, condition, addiction(s), struggle, or concern:
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What treatments, approaches, and tools have you tried already? (Any current treatments or journeys planned?)
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Why are you choosing transformational coaching? (i.e. top needs, goals, & challenges)
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Discuss your ideal support and strategy to transform yourself and your life? (What do you need to create positive changes?)
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Other things you'd like to share about yourself and your vision for personal transformation? (i.e. background, interests, hobbies, personal projects or missions?)
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