Life Coaching Clarity Call Form
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Hi, I'm so happy you're here! Please complete this form with as much detail as possible at least 24 hours BEFORE our scheduled call together. Once you complete, I will send a calendar confirmation and we will connect via video call with Google Meet. I look forward to speaking with you! :)
What is your first and last name and preferred nickname (if any)?
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Your answer
What is your email address?
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Your answer
What is your phone number?
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Your answer
What is your date of birth?
MM
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DD
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YYYY
How did you find me?
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Instagram: @violet_ventures
Facebook
Website
Via a friend who recommended you
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What is your Instagram Handle? If you don't have one type N/A
Your answer
Are you ready to commit to your goals and invest in yourself?
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Not sure, can we discuss?
I think so, but I'll need accountability and support.
Yes, 100% I am READY!
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What would you like support with?
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Career
Financial
Home life
Relationship
Family Struggles
Starting a business
Sense of Self Worth
Health and Wellness
Getting through a painful breakup
My connection to Spirituality/God/Source
Anxiety Relief/Stress/Overwhelm
Other:
Can you share some details so I can get a better picture of what you're currently seeking help with? Don't worry, everything remains 100% confidential.
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Your answer
Are you currently on any medication? If so, what?
Your answer
Have you ever worked with a life/health/wellness coach?
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Yes
No
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Anything else that is important I should know about you before we speak?
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Your answer
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