Coaching Application
For more information about Finding You coaching or other support services, or for questions regarding this application, please email info@findingyouprograms.com or call 866.236.0026
Name
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First Name
Last Name
Phone Number
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Email
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Birthdate
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Month
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Day
Year
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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How did you hear about Finding You Coaching Services?
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Podcast
Webinar
Email
Books
Intensives Alumni
Mental Health Professional
Therapeutic Consultant
Web Search
Therapeutic Program
Other
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What events have led you to seek coaching?
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What do you experience currently as major obstacles/challenges?
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Have you or an immediate family member attended a therapeutic program? If yes, please explain events that led to needing this level of support.
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Please describe current relationships and relevant dynamics in your family:
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What goals do you want to work towards with your Finding You coach?
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How do you prefer to meet with your Finding You coach?
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Video Conference
Phone
Either Phone or Video Conference
How frequently do you plan to meet with your Finding You coach?
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Weekly
Every Other Week
Monthly
Other
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