Online Intake Form | LYF According 2 Cree

LYF Works Coaching

Intake Form

Life According 2 Cree LLC is happy to welcome you as a new client. We are excited that you chose us to help you achieve your personal goals. Please complete the following information and submit it so we can get started.

(DO NOT COMPLETE THIS FORM UNTIL YOU'VE SCHEDULED YOUR INTAKE SESSION)

Individual Client

Corporate Client

Company (If Corporate Booking)

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Select a date

Disclaimer: The Client is aware that the coaching relationship does not represent psychological counseling or any kind of therapy. The Client is also aware that coaching results can vary and are not guaranteed. The Client agrees that they are entering into coaching with the understanding that the Client is responsible for their own decisions and results. The Client also agrees to hold the Coach free from all liability for any actions or results for adverse situations created as a direct or indirect result of advice given by the Coach. (Client initials) _________________ Session Contact Procedure: The Client shall contact the Coach at the agreed hour. If the Client fails to make the appointment time, the Client is still responsible for the coaching fee, unless 24 hours notice was given to reschedule the call. The Coach will make every effort to reschedule with the Client.I accept terms & conditions

Please briefly outline any issues you would like to deal with and what you hope to achieve in the coaching setting:

1. I would describe myself as:

2. Others would describe me as:

3. The three things that I like most about my life/situation are:

4. If I could change three things about my life/situation, they would be:

5. My three greatest accomplishments (so far) are:

6. Some of my hobbies/interests are:

7. The one thing I would like most to accomplish (but haven’t yet) is:

8. The one thing I wish I could change in the short-term is:

9. I think that the most important thing in life is:

10. I am interested in working with a life coach because:

Thanks for submitting!