Advance Life Coaching inquiry form – adult

Name of person seeking coaching *

First

Last

Please enter the name of the person seeking coaching. If the person seeking coaching is 18 or younger please use the “Inquiry form – under 18”

Confirming you are over 18 *

Are you over 18? YES / NO. If the person seeking coaching is 18 or younger please use the “Inquiry form – under 18”

Email *

Confirm Email

Are you willing to explore and try new concepts, beliefs and ways of doing things? *

Are you willing to explore and try new concepts, beliefs and ways of doing things? YES / NO

Are you currently in any sort of therapy and if so what? *

Are you currently in any sort of therapy and if so what? (This may affect whether you can be coached and I need to know there is no conflict with your therapist.)

If yes then please state what –

Have you accessed coaching before? *

Have you accessed coaching before?

If yes, how did that work out?

What do you hope advance life coaching can do for you? *

Have you checked our fee schedule. This way you will know what your commitment might be if you choose to proceed. *

I recommend you check our costing schedule. Have you done this. This way you will know what your commitment might be if you choose to proceed.

Advance life coaching sessions for adults are predominantly via video call of 60 minutes duration. In person sessions available in certain circumstances. Is that OK with you? *

Advance life coaching sessions are predominantly via video call of 60 minutes duration. In person sessions available in certain circumstances. Is that OK with you?