• Kingdom Shifters Wellness

    Kingdom Shifters Wellness

    DESTINY SHIFT COACHING FORM ~ KSWU.NET
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  • SECTION 1: DESTINY, CALLING & CURRENT POSITION

  • SECTION 2: HINDRANCES, PATTERNS, DELIVERANCE & HEALING

  • SECTION 3: DESIRED OUTCOMES & EXPECTATIONS

  • SECTION 4: SERVICE PLACEMENT

  • Which type of support do you believe you currently need most?*
  • Which areas would you like us to prioritize in our work together? Select all that apply.*
  • SECTION 5: READINESS, COMMITMENT & ACCOUNTABILITY

  • On a scale of 1-10, how ready are you to receive wisdom, correction, accountability, complete assignments, confront difficult patterns, establish new disciplines, make necessary changes, and consistently take action toward your development and destiny?*
  • Are you willing and able to consistently attend scheduled sessions, arrive prepared, complete agreed-upon assignments or action steps, communicate honestly, and actively participate in your development process?*
  • SECTION 6: INVESTMENT & AVAILABILITY

  • Are you prepared to make a financial investment in ongoing Destiny Mentoring and/or Coaching if you are accepted and we determine that the program is a good fit for your needs?*
  • How frequently are you realistically available to participate in sessions?*
  • SECTION 7: PREVIOUS & CURRENT SUPPORT

  • Are you currently receiving support from a pastor, spiritual leader, mentor, coach, counselor, therapist, psychiatrist, medical professional, or another support provider that may be relevant to the areas you desire to address through Destiny Mentoring or Coaching?
  • SECTION 8: SAFETY, SCOPE & APPROPRIATENESS OF SERVICES

  • Are you currently experiencing an immediate mental health crisis, immediate danger, active thoughts of harming yourself or another person, or another emergency requiring immediate professional intervention?*
  • Crisis Resources

    If you are in immediate danger or crisis, please stop and get help now. Call 911 (or your local emergency number), or call or text 988 to reach the 988 Suicide and Crisis Lifeline (U.S.), available 24/7. This application is not monitored in real time and is not a substitute for emergency or professional care.

  • Do you understand that Destiny Mentoring and Coaching are developmental and spiritual support services and are not emergency services or substitutes for medical treatment, psychiatric care, or licensed mental health treatment when those services are needed?*
  • SECTION 9: FINAL DISCERNMENT & APPLICATION

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