Breakthrough Session Intake
This form should take approximately 5 minutes to complete. It includes a session agreement so that you know what to expect from coaching, as well as a few brief questions to give us a place to start in our session.
Session Agreement
Please read carefully.

Thank you for scheduling a breakthrough mini-session! I look forward to working together.

The relationship between a coach and client is Co-Creative, meaning that we are equals and both have an active role. I am not a therapist, counselor or consultant. I am a trained coach using honed communication skills to support you as an objective thinking partner. Together we create more power for you to effect meaningful change and take dynamic actions towards your goals.


YOUR ROLE

Fill out the pre-session questions when you sign up so that we can make the most of our time together.

Call in for your session on time. When necessary, sessions can be rescheduled as long as it is more than 48 hours before the appointment (or in cases of emergency).


MY ROLE

I will listen closely to you, respond to what I hear and ask questions. If I hear something in your voice or language that sparks an intuitive thought, I’m likely to ask you about it. Often, it is the small moments that bring about big shifts. If I'm not on target, just tell me. I'm not attached to being right.

At the end of the session, I will clarify your next action steps.

I may record our session to continue improving my services. I will ask you for verbal permission at the beginning of our call and I will not share the session with anyone without your express, written permission.

All sessions are 100% confidential, except in cases required by law.

I’m looking forward to co-creating this experience together!


By accepting these terms, you agree that:

I understand that fulfillment of coaching sessions depends on my calling on time and/or rescheduling more than 48 hours in advance.

I understand that the coach may record our sessions after getting my verbal consent, which will not be shared with anyone without my express, written permission.

I understand that Gabriella Feingold is not a licensed therapist and that I am responsible for all my decisions, actions, and feelings.

By signing your name here, you agree to all of the terms listed in the coaching agreement. *
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