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Discovery Call Intake Form

First Name

Last Name

Phone

Your Partner's First Name (if they are doing coaching with you)

Last Name (of your partner)

What's your primary reason for seeking coaching?

Have you previously worked on your relationship with a counselor, coach, or relationship specialist? If so, what was helpful and what wasn’t?

What are the biggest challenges you're currently facing? (Short answer)

*Please type your full name below to acknowledge the following: "I understand that this session is faith-based coaching, not therapy, psychological treatment, or licensed professional counseling. I am participating voluntarily for the purpose of personal growth, spiritual development, and relational healing. I understand that no diagnosis or mental health treatment will be provided."

*If you're doing couple's coaching, please have your partner type ther full name below to acknowledge the following: "I understand that this session is faith-based coaching, not therapy, psychological treatment, or licensed professional counseling. I am participating voluntarily for the purpose of personal growth, spiritual development, and relational healing. I understand that no diagnosis or mental health treatment will be provided."

COUPLES

COACHING

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