Private Coaching Discovery Form
Please complete as much information as possible so I can get a good understanding of your needs during the sessions.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
We do NOT share, sell or use your personal information for spam emails.
Phone Number (Optional)
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Area Code
Phone Number
DOB
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Month
-
Day
Year
Date
City/Town You Were Born
Time Of Birth
Hour Minutes
AM
PM
AM/PM Option
Occupation - Full/Part Time?
Number Of Children
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?
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Very committed, I am ready for change
I am unsure what needs to change but i'm willing to give it a go
I don't know what to expect, this is all new to me
Do you have a good sense of yourself?
*
Please Select
Yes, I am aware of who I am
I feel lost in my own life and struggle to understand myself
I want to learn more about myself so I can make better decisions for my life
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