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Initial Consultation Form

I look forward to speaking with you about your interest in my coaching and/or consultation services. I provide a no-charge initial consultation to determine your needs and to ensure that I have the skills to be of help to you. Please be aware that this initial meeting is not coaching and will not include any feedback or work on your problem.

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1. Please briefly describe your reason(s) for seeking out coaching? Be as specific as you can be. What do you want to change? How would you best describe your needs? What do you want from coaching?

2. Have you previously been coached? What worked well for you? What did not?

3. On a scale of 1 (not at all motivated) to 10 (highly motivated), how motivated are you to change your situation?

Thank you for taking the time to complete this questionnaire! Your answers will help me to make the most of our time together.

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