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INTAKE FORM

Preferred Contact Method:
Email
Phone
Text
Preferred Session Frequency
Weekly
Bi-Weekly
Monthly
Unsure – would like to discuss
Preferred Coaching Format
1:1 Sessions
Group Coaching
Hybrid / Flexible
Which area(s) of focus are most important to you?
What type of coaching experience are you looking for?
Short-term, goal-focused coaching
Ongoing, long-term personal growth
Accountability & structure
Clarity & guidance on next steps
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