New Client Form

Developing and Re-establish Excellence in Vertical and Horizontal Relationships

2 Timothy 4:7 & Romans 16:19

Full Name
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Email Address
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Mobile phone
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Date of Birth
How did you hear about my coaching services?
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What made you decide to seek coaching at this time?
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Please tell about your family (marital status, children, etc)
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Please tell about your career or work background
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Education and special training
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Faith history & current relationship with God
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Do you ever find yourself sabotaging your own success? (yes, no, explain)
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Are you willing to make changes in your life, in order to fulfill your God-given purpose?
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Tell the three things in your life that give you the greatest joy
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What three things have you found to be your grestest motivators?
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What are you most passionate about?
Describe what you feel God is doing in your life right now?
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Do you have any fears or insecurities with the coaching process? (if yes, describe)
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What are your strengths or gifts/talents?
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What one thing, if it were different or better, would make the greatest differnce in your life right now?
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What is your coaching goal you want to work on? Why?
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Additional comments