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Anna
Client Introduction Form
Client Introduction Form
Please complete this form to enable me to get to know you better and see which areas we can concentrate on - dont worry if you dont have answers to everything yet - thats why we are working together!
Full Name:
Address:
Contact Telephone Number:
Contact Email:
Sex:
Male
Female
How would you describe your relationship with Family & Friends?:
Great
Average
Poor
Describe your living situation at present::
(Include marital status / children / home )
How would you describe your Career & Current Job::
Great
Average
Poor
Describe your working situation at present::
Include occupation / hours of work / responsibilities / satisfaction with job
How would you describe your Wealth & financial situation::
Great
Average
Poor
Describe your financial situation::
(Include debts / problems / spending habits )
How would you describe your Health & physical appearance?:
Great
Average
Poor
Describe your health and general appearance::
(Include long term / short term illness / time taken to maintain appearance / general feelings about your appearance /)
How would you describe your Spiritual situation (emotions and inner self):
Great
Average
Poor
Describe your spiritual situation::
(Include your day to day emotions, stresses and strains, time management and 'me time')
Please submit this form and I will email you with feedback and a coaching plan.
Verification: