CLIENT INTAKE FORM
GENDER
MARITAL STATUS
CHILDREN?
What type of coaching are you interested in?
coaching agreement

This agreement is between coach and client. Coaching is not a substitute for therapy, counseling or any other therapeutic services. We do not diagnose or provide treatment of any extent. Coaching is client-centered, therefore, the client is responsible for the pace and outcome of coaching. The client is also responsible for his/her actions, behaviors, and emotional/mental well-being during the coaching process. In order for the coaching process to be effective, the client agrees to be honest and forthcoming. The coaching process is 100% confidential unless subpoenaed by a court. The coach will guide, support and be an accountability partner to the client. The coach will ask powerful and thought-provoking questions along with using coaching tools and resources deemed useful to the coaching process. Either coach or client will call at agreed session time. The client and/or coach reserve the right to terminate service at any time. No refunds will be given after first session has been completed or session is cancelled less than 24 hours notice.  No refunds are offered for same day appointments (i.e. appointment made at 10a.m for same day service of 1p.m, etc.).