Coaching Session Intake Form

Please fill out this short form so that I can serve you the absolute best that I can! After you hit submit, you will be directed to my booking link ;)
Full Name*

First NameLast Name
Phone Number*
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Email*
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Which session would you like?*

Astrology Chart Reading90-Minute Coaching SessionHuman Design Reading
Which topics would you like to cover? Please select ALL that apply!*

Developing more self-confidenceDating/relationshipsBetter communication with a partnerParentingSetting healthy boundariesConflict resolutionImposter syndromeCareer choicesThinking of becoming self-employedLife after divorce/breakupEmotional healingIdentifying my own emotionsLearning how to be my authentic selfLearning to identify my authentic selfCreating better habits and sticking to themOther/please specify
What is your birth date (mm/dd/yyyy), birth time, birth location? If you have no way of accessing your time we can still get some helpful information. It won't be as detailed as it could be, but we can still get some good work done!
Please share any other details about yourself and your needs that would be helpful!
Participation Agreement:

I understand that coaching services with Laura Wheat aim to support me in achieving goals of my choosing. Progress depends on my own efforts and commitment.

I understand that coaching with Laura Wheat is not therapy or medical advice and that I am responsible for my actions and results, releasing Laura Wheat from liability.

Individual coaching sessions must be paid in full in order for the appointment time to be approved. Appointment times can be rescheduled with no additional cost. Session fees are non-refundable.

All information shared in each session remains confidential.
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Please fill out this short form so that I can serve you the absolute best that I can! After you hit submit, you will be directed to my booking link ;)