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Confidential Client Session Form
Your information is kept private. By answering the questions below you will give me the necessary details to begin our conversation.
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Name:
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Your answer
Today's date
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E-mail:
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Your answer
Phone number:
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Your answer
Where are you from? (Country, State, City)
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Your answer
What is your relationship status?
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married
single
Other:
What is on your mind or a problem your facing?
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Your answer
What are your expectations from our session today?
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Your answer
What are you looking for from a life coach?
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Your answer
Tell me about your daily responsibilities, such as, do you have children? Are you taking care of elderly parents? Do you have more than one job? Are you currently enrolled trade school or collage?
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Your answer
I'd love to know more about you, do you have any Hobbies?
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