Coaching Inquiry: VIP Intensive or Ongoing
Thanks for your interest in coaching. Before acceptance into any VIP Intensive or Multi-session Coaching program, we do a 20 minute Inquiry Session by phone, with Kala to ensure a 100% win-win + perfect fit. I understand that by filling out this application, I am requesting to be considered for coaching w/ Kala (Vivinne Williams.)
I understand that if I am accepted and choose to enroll, a simple agreement* (supplied after the free Inquiry Session,) will be sent out. And payment is due as outlined.
*All program limitations and conditions will be spelled out in contract, for your perusal.* Anything on this form is strictly confidential and won't be shared with anyone except by law.
Email address
with Kala (Vivinne Williams MFA, LMT)
Full Name
Your answer
Your answer
Phone ( your best contact)
Your answer
Do you have a spiritual practice already?
If so please say a bit about it. Are you open to learning new practices?
Your answer
Tell me, what is your biggest difficulty or concern right now- that coaching could help?
Your answer
What do you think is your biggest obstacle in fixing that problem? What's stopping you or slowing you down??
Your answer
What is it costing you to NOT achieve your goals, vision? Be specific and consider in terms of lost money, time, relationships, family, health, and happiness.
Your answer
What changes would you like to see from our work together? How would you know it was a success?
Your answer
Are you motivated, ready and able to invest in coaching support at this time?
Your availability for phone session. Please list general times and days of week.
Your answer
Your answer
By signing this form you acknowledge that any health/medical or psychological conditions have been checked by a physician or medical provider who provides you care. I do not prescribe medications or make diagnosis. Any suggestions are given in the spirit of sharing, from research and practical experience in traditional therapies of TCM (traditional Chinese medicine,) or Yoga, meditation & Ayurveda. You accept all responsibility for any injuries or harm in the course of doing these practices.
If my work seems like it would benefit you, you'll get a link via email to schedule our Inquiry Session from either "" or "!"
A copy of your responses will be emailed to the address you provided.
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