AGREEMENT/REMINDERS:

I understand that all information I entered in this form will be considered strictly confidential.

The data gathered from this form will only be used as a basis for a coaching path.

I understand that in order to be successful, it is vital to follow the plan agreed by both the life coach and the client.

I understand Coaching is not therapy, counseling, advice-giving, mental health care, or treatment for substance
abuse. The coach is not functioning as a licensed mental health professional, and coaching is not
intended as a replacement for counseling, psychiatric interventions, treatment for mental illness,
recovery from past abuse, professional medical advice, financial assistance, legal counsel, or other
professional services.

I understand Coaching is for people who are basically well adjusted, emotionally healthy, functioning effectively,
and wanting to make changes in their lives.

I understand Coaching is designed to address issues the person being coached would like to consider. These
could include (but are not limited to) career development, relationship enhancement, spiritual
growth, lifestyle management, life balance, decision-making, and achieving short-term or long-term goals.