Coaching Application full

There is no obligation for either of us upon this initial, free conversation. This is to determine if we are the best fit, if I can be of the utmost help to you, and if I feel you are ready for the services I provide. Upon completing this form, you will be emailed a link to my calendar for you to set your free 30 min appointment.

1:1 Coaching with Jacinta

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Name *

First

Last

Pronouns *

Email *

What brings you to coaching with me? What is it you're hoping to experience and work through? *

Of the two offerings, are you looking for coaching for wellbeing or coaching for a creative project? *

What are your three main goals or objectives for coaching? *

Have you had coaching before, with someone else? *

Anything else you want to share with me before our initial talk? *

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