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Private Coaching Discovery Form

Please complete as much information as possible so I can get a good understanding of your needs during the sessions.
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DOB

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What are your challenges right now? What do you feel you need help with?*
How long has this situation/problem been an issue in your life?
Have you seen/talked to anyone about this before? (i.e. your GP, psychologist)
Do you have any Physical, Emotional or Mental Health challenges - i.e Anxiety/Bad Back? Please detail below
Are you taking any medication?
How committed are you in taking steps to work on yourself?*

Very committed, I am ready for changeI am unsure what needs to change but i'm willing to give it a goI don't know what to expect, this is all new to me
Do you have a good sense of yourself?*
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Private Coaching Discovery Form