Coaching Client Register
Completing this form adds you to my client database. This log is entirely confidential. Your information will be protected. If you have already completed this form once, you do not need to complete it again even if you're starting a new coaching program.
The company you work for (or your business name)
Street Address / PO Box
Country, if not USA
Email address for file sharing (prefer Gmail)
All session recordings and notes are strictly confidential. You will be given access to a Google folder containing your recordings and the Evernote file containing your session notes.
Phone (note if cell or landline)
How did you hear about me?
Initial type of program:
Class or workshop
Focus of program:
Wellness / Mindfulness
Date you began your coaching program
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service