Our Life Well Lived: Life Coaching Agreement

As your Life Coach, I, Leanne Hintz, am committed to assisting you with …
- goal-setting
- brainstorming / action planning
- obtaining / creating appropriate resources and supports

As the client, I trust that you are committed to …
- goal-setting
- brainstorming / action planning
- taking action
- staying accountable
- attending weekly meetings

***Please keep in mind, Life Coaching is not therapy or treatment for any form of mental illness.***
Client’s Full Name: *
Date of Birth: *
Mailing Address: *
Phone Number: *
Email Address: *
Preferred Method of Communication (Please Check All That Apply): *
When would you like to get started with your Life Coaching journey? *
What charity will you donate to (in exchange for four weekly coaching meetings)? *
What dollar amount are you committed to donating? *
Please select ONE of the following: *
Please select ONE of the following: *
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