W(her)thy Coaching Intake & Agreement

W(her)thy Coaching Intake & Agreement

Please fill out this form to start your coaching journey and review the agreement details.
Full Name*

First NameLast Name
Email Address
example@example.com
Preferred Name
Your Current Season
What are you currently walking through?*
What feels hardest right now?*
What do you feel like you need most?*
Your Hopes
What are you hoping will change through coaching?*
Are you open to faith-based encouragement?*

YesNoSometimes
Communication Agreement
Please check to confirm:*

I understand coaching is Monday–FridayI understand responses are within 24 hoursI agree to the 3-message-per-day guideline
Important Notice
W(her)thy Coaching is not therapy, counseling, or crisis care. It is a supportive space for growth, reflection, and encouragement.

If I am in crisis, I will seek help from a licensed professional.
I understand and agree*

I understand and agree
Consent
I agree to participate fully and honestly*

I agree to participate fully and honestly
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Your Current Season