Neuro-Linguistic Programming Therapy and Life and/or Business Coaching (please read below)
This form MUST be completed BEFORE the appointment. 

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Sabrina
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Email *
Date of Initial Visit *
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FULL NAME *
Phone Number *
Date of Birth *
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Next of Kin (Name + Phone Number + Relationship) *
Full Address *
What motivated you to seek coaching or NLP at this point in your life or business? *
What are the top 3 outcomes you want to achieve by the end of our work together? *
Describe your biggest challenge right now in life or business and how it makes you feel.
*
What has helped you move forward in the past when you’ve faced challenges, and what hasn’t worked? *
How would you describe your ideal coaching or NLP experience? *
On a scale of 1-10, how confident do you feel in achieving what you want right now?  *
Not at all
Extremely confident
Why is that? *
Is there anything specific you'd like me to know about your past experiences, values, or communication style? *
What habits, patterns, or fears do you feel may be holding you back? *
What does success mean to you, and how will you know you’ve achieved it? *
Do you have anything you'd like to add? *
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