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Discovery Call Intake Form

First Name

Last Name

Phone

First Name (of your partner)

Last Name (of your partner)

What's your primary reason for seeking coaching?

Have you previously worked on your relationship with a counselor, coach, or relationship specialist? If so, what was helpful and what wasn’t?

What are the biggest challenges you're currently facing? (Short answer)

Please type your full name below to acknowledge the following agreement: "I understand that this coaching is not therapy or professional counseling. It is a faith-based coaching session focused on personal growth and relational healing."

Please have your partner (listed above) type their full name below for them to acknowledge the following agreement: "I understand that this coaching is not therapy or professional counseling. It is a faith-based coaching session focused on personal growth and relational healing."

COUPLES

COACHING

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