New Client Intro

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By participating in/reading my coaching service/website, you acknowledge that I am not a licensed psychologist or health care professional and my services do not serve as or replace the care of psychologists or other healthcare professionals. Coaching is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice. I will at all times exercise my best professional efforts, skills and care.I cannot guarantee the outcome of coaching efforts and/or recommendations on my website/blog/vlog and my comments about the outcome are expressions of opinion only. I cannot make any guarantees other than to deliver the coaching services purchased as described.
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Full Name* This field is required.
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What makes you Tick? (What is your driving force?)
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Have you ever had a counselor before?
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What did you like least about that experience?
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Have you ever had a coach before?
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What did you like most about that experience?
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What are the primary reason(s) you’re considering a coach?
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What specific area(s) would you like to focus on? i.e. Career, Business, Social anxiety, addressing conflict, relationships, sex, health and fitness to name a few, there is no right or wrong answer.Dig deeper then above
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Are you ready to commit to yourself and the goals we come up together?Please Explain. Why?.
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Name
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Date
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Email
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Will you be willing to recommend us?
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Please provide reference of any two people whom you believe could benefit from Us reaching out to them?Maybe you have a friend or family member and It would be best for Us to initiate the contact.
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What is your preferred method of meeting?
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Suggestions questions.
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