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Format: (000) 000-0000.
- Preferred Contact Method*
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- What ages of children have you cared for?*
- What work arrangement have you primarily worked in?*
- Which certifications or training do you have?
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- Current employment status*
- Biggest professional challenges*
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- Boundaries with families that matter most right now*
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- What areas would you like support with?*
- Which area feels most important right now?*
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- What feelings or challenges show up most often at work?*
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- What support systems do you currently have?
- What coping tools do you already use?
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- Which nutrition habits best describe your workdays?
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- What types of movement or exercise do you usually get?
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- Which health habits are you trying to maintain during workdays?
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- What barriers make it hard to prioritize self-care?
- Which restorative practices feel most supportive to you?
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- Which values guide you most right now?
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- Which grounding practices help you feel centered?
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- Top 3 Goals*
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- Preferred coaching style
- Accountability needs
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- Should be Empty: