	Master Christian Life Coach and Coach Trainer

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COMPLIMENTARY COACHING SESSION REQUEST

Congratulations! Taking this step is affirmation that you truly desire to invest in yourself – to become the person God intends for you to be!

In this 30-minute complimentary telephone coaching session, we will work together to ensure we are a good fit for coaching and that coaching will positively impact your life.

Instructions: Please type your response to each question in the space following each heading. Please be as complete and honest as possible in your responses. All answers are kept in strictest confidence. Read our Privacy Policy.

Name:
E-Mail Address:
Telephone:
Best Time To Call:
Time Zone:
Address:
Are you a member of the Adoption Triad and if so which part?
If not a member of the Adoption Triad, how does adoption impact your life?
Please rate your life in the following areas: (1-worst 5-best) Relationships, Life Balance, Life Vision, Spiritual Life, Life Transitions, and Leadership
What would you like to accomplish in the next 180 days?
What one thing do you want more of in your life right now?
List 3 things you procrastinate at:
What interests you the most about Christian life coaching?
Additional Comments: