Client Form

Client Questionnaire

Dear New Client: The following information will help us develop a rich relationship. Please fill out the personal information to the degree that you feel comfortable sharing. Your information will be held in confidence. Once the form is completed you will be taken to the payment page. Thank you!

The information contained within soulsdesirecoaching.com website is not a substitute for professional advice such as a Medical Doctor, Psychiatrist, or counselor. The information provided by soulsdesirecoaching.com does not constitute legal or professional advice nor is it intended to be.

Diagnosing psychological or medical conditions is for trained medical professionals (Physicians and Therapists), not for a Life Coach.

Business Coaching is not a substitute for engaging the services of a CPA or Attorney.

Any decisions you make, and the consequences thereof are your own. Under no circumstances can you hold soulsdesirecoaching.com liable for any actions that you take. You agree not to hold soulsdesirecoaching.com, or any employees of soulsdesirecoaching.com liable for any loss or cost incurred by you, or any person related or associated with you, as a result of materials or techniques, or coaching, offered by soulsdesirecoaching.com.

Results are not guaranteed.

soulsdesirecoaching.com holds no responsibility for the actions, choices, or decisions taken or made by the client.

The owner of and contributors to soulsdesirecoaching.com accept no responsibility or liability whatsoever for any harm – real or imagined – from the use or dissemination of information contained here.

If these terms are not agreeable, do not engage the services.

By engaging the services of soulsdesirecoaching.com you have agreed to all terms and conditions.

Yes I Understand And Accept

First Name

Last Name

Day Phone

Evening Phone

Address

City

Province/State

Postal/Zip Code

Date of Birth

Marital Status

Spouse/Partner Name

Do You Have Children/Dependants?

Ages

Occupation/Employer

Work Hours

Is there anything else you want me to know about you at this time?

What are your strongest beliefs about yourself and the world?

What bits of wisdom/life lessons would you like to share with the world?

When in your life have you felt most creative?

When in your life have you been most committed to something/someone?

What are the greatest accomplishments of your life so far?

About what have you taken the strongest stand?

What does prosperity mean to you and when/how have you experienced it?

What energizes you?

How might you sabotage this coaching process? What do you want me to do if I notice sabotaging behaviour?

How will you know that coaching has been effective for you?

Client Form

Client Questionnaire

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