Coaching Registration Form
Client Information
Name
*
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Email
*
example@example.com
Occupation
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Please enter your occupation
Why are you considering coaching?
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Please provide any relevant information regarding your health condition/s.
Goals
What are you wanting to achieve through training and/or changing your lifestyle?
What are your immediate goals (1-3 months)?
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What are your short term goals (3-6 months)?
*
What are your long term goals (6 months to 1 year+)?
*
How would you define a successful outcome from a coaching session?
*
Please provide any relevant information regarding your health condition/s.
Disclaimer
I acknowledge that the financial coaching services provided are for educational purposes only and do not constitute financial, investment, legal, or tax advice. I understand that any guidance offered is not a substitute for professional advice tailored to my specific circumstances. I agree to consult a qualified financial advisor or other professionals before making any financial decisions. I release the coach from any liability for outcomes or losses resulting from actions taken based on the coaching provided.
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45 minute deep-dive
Perfect for tackling a specific financial question or challenge, whether it's budgeting, debt, savings, or a big decision you need help navigating. Quick, targeted support to get you unstuck and moving forward.
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180.00
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90 minute Deep-Dive
Ideal for a full financial review. We’ll look at the bigger picture from your income and spending to long-term goals, savings, and future planning. You’ll leave with a clear, personalised plan and next steps tailored to your life.
£
240.00
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Credit Card Details
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