Name
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First Name
Last Name
Pronouns
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Email
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Phone
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Country
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What service are you interested in?
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How did you hear about me?
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Friend
Social Media
Referral | Therapist, doctor, etc.
Book
Podcast/Radio
Other Media
What goals are you seeking to achieve? How do you want to feel? What are your hopes and expecations? What will a successful outcome or result look like for you? (You're also welcome to work with me for the process and the insight - not everyone is looking to meet goals or experience profound changes). It's good for us to be clear about this before we begin.
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Briefly describe what would you like to work on with me. Just a general hint is enough. (e.g.marketing, promotion, branding, client retention, strategy, communication, personal goals, career goals, life transitions, etc):
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What approaches (if any) have you tried before to work through this? This could include; therapy, reading books, workshops, lectures, or coaching.
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Of those things, what's been helpful? What's been unhelpful? What would have made the experience better for you?
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How will you know that coaching is succeeding? (ie what will others see you doing differently, or what will change in your life?)
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Are you currently working with a therapist or business coach? Have you in the past?
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I recognize you have options in choosing a professional coach to work with, (and I'm not your average coach.) I am very curious about you, and what matters to you in selecting a coach. What resonated for you about me/my work/my approach? Why have you selected me as someone who fits what you're seeking?
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After reading about me and the FAQs, what hesitations do you have, if any, about working together at this time? How might you manage these?
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Please indicate your affiliation with any of these communities/ identities/practices
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Is there anything else you would like me to know about your identity, values, faith, philosophy, etc. that may become relevant while working together?
Is there any other information you'd like to share with me?
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