Coaching Intake Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.WELCOME! I am so excited to be starting this journey with you! Please fill out this questionarrie to the best of your ability. All questions are optional, but the more questions you answer, the better I will be able to create a custom coaching plan for you. During the next three months we will be meeting weekly to navigate through your life journey to reconnect you with yourself and your connection to source. Logistical QuestionsName *FirstLastEmail *PhoneWhat days & times are you available for coaching? (select all that apply)M-FWeekendsMorningsAfternoonsEveningsWhat is your preferred method of contact?TxtEmailPhone CallDuring coaching would you prefer in person sessions or virtual?VirtualIn PersonEitherWhat video conferencing do you prefer for our sessions?ZoomFaceTimeWhatsAppOtherLet's get to know you!!What areas of your life do you feel could use the most attention right now? (select all that apply) Relationships Career Self Confidence Spirituality In regards to your spiritual journey so far, where do you believe that you are currently in your connection to yourself?For the section below, please rate your levels of each in a general sense from the last 6 weeks. With 0 being none at all, and 10 being very strong. Motivation Selected Value: 0 Inspiration Selected Value: 0 Action Selected Value: 0 Daily Joy Selected Value: 0 Daily Frusturation Selected Value: 0 Daily Meditation/Peace Selected Value: 0 Connection to your highest self Selected Value: 0 Connection to source Selected Value: 0 What modalities are you interested in exploring during our sessions? (select all you are interested in)BreathworkMeditationHypnosisTherapy TechniquesWorksheets & HomeworkAssigned ReadingPhysical MovementBinaural Beats & FreqenciesSound BathsDo you have any fears about spiritual coaching? Any questions I can answer in our first session?Anything else you'd like to share?Are you ready and willing to commit ONE HOUR a week to this journey of getting to know yourself on a deeper level for the next three months?YES!!NoI have read the terms and conditions and I agree to coaching with Gina (Healing Meow LLC) *YesNo**Spiritual Coaching Disclaimer** 1. **Nature of the Coaching:** This spiritual coaching relationship is a partnership between the coach and the client. It is not a counseling, psychotherapy, or medical relationship. Any information shared in this context is for personal development and spiritual growth purposes only. 2. **Limitations:** Spiritual coaching is not intended to diagnose, treat, cure, or prevent any disease or illness, mental or physical. If you believe or suspect you have a health or psychological problem, you should consult a medical or mental health professional. 3. **Client Responsibility:** As the client, you are responsible for your own choices and decisions. The coach is here to support and assist you, but you remain accountable for your actions and results. 4. **No Guaranteed Outcomes:** While many clients experience significant personal growth and benefits from spiritual coaching, the coach cannot guarantee specific outcomes or improvements. 5. **Confidentiality:** The coach respects your privacy and will keep all personal information shared during the sessions confidential, except as required by law. 6. **Termination:** Once the contract has been signed and payment has been made, if there is a termination that is agreed upon by both parties after our first session, a refund may be available. After our second session, the commitment has been made and there will be no refunds. 7. **Acceptance of Risk:** Engaging in spiritual coaching may involve discussing and exploring deeply personal topics which might lead to emotional or psychological discomfort. By accepting this disclaimer, you acknowledge the potential risks and agree that the coach is not liable for any harm or complications that may arise from the coaching sessions. By proceeding with the spiritual coaching, you acknowledge that you have read, understood, and agree to the terms of this disclaimer.YES! I am IN!
