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COACHING
Heartful Creations
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Intake form
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Intake form
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Name
*
First
Last
Country
*
Age
*
Gender
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Male
Female
Others
Email
*
Which Coaching Package would you prefer ?
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Premium Coaching Package
Classic Coaching Package
What are the top area/areas of your life where you seek improvement or change?
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Mind Wellbeing
Personal Empowerment
Inner child work
Have you ever worked with a life coach or participated in coaching sessions before? If yes, please provide details?
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Are you willing to commit to the duration and frequency of the Life Coaching Package (40 days, every 10 days for 90 minutes for classic and 100+15 days every 10 days for 60 minutes)?
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Yes
No
What scheduling conflicts or challenges that may affect your availability for coaching sessions?
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Terms and Conditions
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By completing this questionnaire, you acknowledge that the information provided will be used by your coach to tailor the Premium Life Coaching Package to your needs and preferences. You also consent to the terms and conditions outlined in the coaching agreement. Goddesses of Fire is not a mental/medical health practitioner or mental/medical health provider and is not holding itself out to be in any capacity. This coaching package is not providing counseling or therapy services or attempting to diagnose, treat, or cure in any manner whatsoever any physical or mental ailment. Rather, Goddesses of Fire serves as a coach/mentor who helps you realize your self-love/self worth through personal accountability. You are participating voluntarily in using our products or services and you alone are solely and personally responsible for your results and take full responsibility for your health, life, and well-being, as well as the health, lives, and well-being of your dependents (where applicable), for all decisions now and in the future.
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