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Advance Life Coaching inquiry form – under 18 years old
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Name of under 18 person seeking coaching
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First
Last
Please enter the name of the person seeking coaching. If the person seeking coaching is over 18 please use the “inquiry form – adult”
Confirming you are under 18
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Yes
No
Confirming you are under 18 – YES / NO. If the person seeking coaching is over 18 please use the “inquiry form – adult”
Name of Parent / Guardian / Carer
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First
Last
Name of the person completing this form on behalf of the person seeking coaching
Email of the Parent / Guardian / Carer
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Email
Confirm Email
This email address is the initial only form of contact requested. It should be the email address of the person organising and managing the under 18’s coaching
Is the person seeking coaching willing to explore and try new concepts, beliefs and ways of doing things?
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Yes
No
Confirming the person seeking coaching is willing to explore and try new concepts, beliefs and ways of doing things – YES / NO
Is the person seeking coaching currently in any sort of therapy and if so what?
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Yes
No
Is the person seeking coaching 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 –
Has the person seeking coaching accessed coaching before?
*
Yes
No
Has the person seeking coaching accessed coaching before?
If yes, how did that work out?
What does the person seeking coaching hope advance life coaching can do for them / you both?
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Have you checked our fee schedule. This way you will know what your commitment might be if you choose to proceed.
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Yes
No
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 under 18's / children and are predominantly in person face-to-face sessions of 45 minutes duration. Is that OK with you?
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Yes
No
Advance life coaching sessions for under 18 / children are predominantly via in-person / face-to-face sessions of 45 minutes duration. Is that OK with you?
Submit