Coaching with Stacey

Coaching with Stacey
Thank you for choosing to work with me.
Please answer the following questions with as much detail as possible.

Your contact info
Name

First Name Last Name
E-mail
example@example.com
Contact Number

Area Code Phone Number
I'll need some information from you so that we can proceed.
The coaching would be for?
Where do you live?
Best way to contact you?

Text Email Phone call
Have you (your teen or child) had any experience with a therapist/counsellor?

Yes No
Biggest challenge in your life right now?
Biggest joy in your life right now?
What outcome are you hoping for by working with a life coach?
Anything else you'd like me to know?
Should be Empty: