#2 - House of Ganiyah Client Intake Form
Please take a few minutes to complete this form ahead of your session with Tope Fajingbesi.
What type of package are you signing up for?
Name *
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Email Address *
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Telephone Number *
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Date of Birth *
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Current Occupation *
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Employer Name *
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I have taken the MBTI personality test at www.16personalities.com (takes only 10 minutes.) My four-letter personality type e.g ENFJ, INTP, ESTJ etc is ______
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How satisfied are you with your current working conditions? Pay, career level and alignment with your purpose? *
Do you enjoy your job? If yes, what specifically about it do you enjoy. If no, what specifically about it do you find unsatisfying? Do you feel that you are doing what you are called & created to do aka ‘living your dream’? *
Your answer
What are the reasons (problems, challenges, circumstances) that brought you here (to work with a coach)? *
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Is there any link between your past experiences/relationships and this present challenge? *
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What is your relationship status? *
Are you happy with your relationship and/or relationship status? Is it fulfilling? What could make it more fulfilling? *
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In the next 5 years, I hope to have accomplished the following goals.
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Which areas of your life are you most concerned about right now? *
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What are you most grateful for in your life? *
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What frustrates you most about your life? *
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What do you like about yourself? What don’t you like about yourself? *
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Do you have any anger, resentments or unforgiveness towards any person, place, thing or situation (including God)? Why? *
Your answer
What would you like to be different, better or more in your life? *
Your answer
When was the last time you went on vacation alone? Where did you go and how was the experience? *
Your answer
What are your expectations from your upcoming RELEASE session? What do you hope to achieve or learn? *
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I understand that I have to pay the session fees before my scheduled consultation or my appointment will be cancelled. *
I have scheduled/will schedule my appointment at: https://calendly.com/tfaj17/release *
For Corporate/Employee Participants Only: I have read case study #1 - Arthur Andersen Nigeria and United for Kids Foundation at: www.ganiyah.com/AndersenUkf *
For Corporate/Employee Participants Only: I have read case study #2 - Culture of Good at TCC at www.ganiyah.com/tcc *
Please share any other relevant/important comments, concerns or information you have below.
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