This 'Client Intake Form' consists of general intake information, consent to video recording, emergency contacts, general health information (not personal health information), and coaching questions. This form is to be filled out prior to your free 30 minute consultation to help prepare the coach and to make sure you get the most out of your time. Filling out this form does not indicate an obligation to services by the coach or yourself. Again, you are NOT commiting to services by signing this contract. If you and the coach decide to work together, then you will fill out the 'Coaching and Client Agreement' which is a commitment to services. Please see the 'Confidentiality and Liability Agreement' located on the client page on www.queerspectrumlifecoaching.com for information on how we keep all of your information private and secure, including this document and anything else you share.