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Coaching Intake Form & Agreement
for Coaching Sessions with Vanessa Rudge

Achieve real results NOW. Get started with your Coaching sessions. Fill out the form below to activate your sessions and take your life to the next level.

January Special - To claim the offer, mention below that you want the special then book yourself in via the link that will be emailed to you. Spaces are filling!

First Name

Last Name

Mobile Number

WHAT ARE YOUR TOP 3 CHARACTERISTICS OF A DESIRED COACH?

WHAT ARE THE TOP 3 PERSONAL GOALS (HEALTH, RELATIONSHIPS, SPIRITUALITY, CAREER, ETC.) THAT YOU MUST ACHIEVE IN THE NEXT 12 MONTHS?

WHAT ARE THE TOP 3 THINGS HOLDING YOU BACK FROM ACHIEVING YOUR GOALS TODAY?

WHY IS IT IMPORTANT THAT YOU ACHIEVE THESE GOALS IN THE NEXT 12 MONTHS?

WHAT IS GOING GREAT IN YOUR LIFE TODAY?

I understand that the results of any coaching depends on my ability to take action and follow the coaching plan to the best of my ability. I take full responsibility for the results achieved, knowing that the coach can only facilitate.

I agree to communicate clearly with the coach on all issues that I need assistance with. Issues not shared with the coach may not be resolved. This includes issues with the coach. The coach agrees to use best efforts to assist resolving issues (with confidentiality).

I agree that the coach may assign tasks to be done in between sessions and I will give my best effort to fulfill those tasks.

This agreement starts with the first session. It can be cancelled with 30 days of notice, given in writing.

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