1-1 Life Coaching with Daisy
Full Name
First Name
Last Name
Where do you live?
This helps me determine time zones for our sessions. Please note I coaching online and from Auckland, New Zealand (NZDT)
Email
What season of life are you in?
You might like to include why you are interested in coaching, what you are ready to change or move through, or anything you are currently finding challenging.
Have you had coaching or any kind of talk therapy before?
Please Select
Yes
No
What kind of coaching or talk therapy have you engaged in and did you find it helpful?
Are you interested in?
Please Select
A Coaching Season (8 weeks of deep 1-1 weekly support)
A Clarity Session (1 x 60 minute call)
Ongoing Support
Where did you find me?
Instagram
TikTok
Word of mouth
Through an event I attended
Google
Other
Is there anything else you’d like me to know before we begin?
This is your space, and you’re welcome to share anything that feels important. Anything shared on this form and throughout our work is confidential.
A reminder...
While I hold a Postgraduate Diploma in Psychotherapy, I’m not a registered Psychotherapist. Our work together is Life Coaching, not therapy, and I’m unable to diagnose, prescribe or support individuals experiencing severe mental health challenges. I can work with your existing team however to support you. If you're unsure please reach out or ask.
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