Coaching Client Registration Form 

Client Information

Client Questionnaire

The goal of life coaching is to form a partnership between coach and client to assist you in breaking negative belief patterns, act more resolutely, and set clear goals towards accomplishing what you want from life. Coaching supports you in aligning your life with your highest intentions and dreams as you look at where are now in your life and where you would like to be. The agenda of each coaching session is set by the client. You come to the session with a focus and a sense of what you want to take away. We work together to gain new insights and utilize strategies for the effective implementation of your goals.

Coaching Terms and Conditions

  • As a client, I understand and agree that I am fully responsible for my well-being during my coaching sessions, including any choices and decisions that I make.
  • I understand that “coaching” is a partnership I have with my coach that is designed to facilitate the creation and development of personal or professional goals and to develop and carry out a strategy or plan for achieving those goals.
  • I understand that personal coaching is a comprehensive process that may involve all areas of my life, including but not limited to: work, finances, health, relationships, education, personal development, spirituality, and recreation. I acknowledge that deciding how to deal with these topics and implement my choices is exclusively my responsibility.
  • I understand that all decisions in these areas are exclusively mine, and I acknowledge that my decisions and actions regarding them are my responsibility. I understand that I am always free to reject any ideas, insights, perceptions, or requests made by my Coach at any time.
  • I understand that personal coaching is not to be used in lieu of professional advice. I will seek professional guidance for legal, medical, financial, business, religious, or other matters.
  • I understand that personal coaching does not treat mental disorders as defined by the American Psychiatric Association. I understand that personal coaching is not a substitute for counseling, psychotherapy, psychoanalysis, clinical mental health care, or substance abuse treatment, and I will not use it in place of any form of such therapy. I further understand that if topics arise that I or my Coach believe would best be served by seeing a mental health professional, an appropriate referral will be made. If I am under the care of a mental health professional, I will consult with him/her regarding the advisability of working with a coach and will let them know of my decision to proceed with the coaching relationship.
  • I am aware that I can choose to discontinue coaching at any time.
  • I will contact my coach at least 24 hours in advance to reschedule a session. Any cancelation of a session with less than 24-hour notice will result in forfeiting the session.
  • I understand that sessions are generally scheduled on a two-week rotation. If I need to reschedule, I understand that I will need to reschedule following every two-week rotation unless a spot becomes available the following week.
  • I understand that my Coach will maintain the confidentiality of our coaching relationship within the requirements of the law unless I have given written permission to use my name in testimonials or other public domains. I also understand that to protect myself and others, exceptions to confidentiality will include risk of harm to myself or others, or admission of involvement in a major crime.
  • I understand that the coach engages in training and continuing education to pursue and/or maintain BCC credentials.

That process requires the names and contact information of all clients for possible verification by the BCC. By signing this agreement, you agree to have your name, e-mail address and start & end dates of coaching shared with BCC staff and/or other parties involved in this process for the sole purpose of verifying the coaching relationship. No other information, including notes, will be shared. I understand that certain topics may be anonymously and hypothetically shared with other coaching professionals for training or consultation purposes.


$ 0.00

Subscribe to the bi-monthly Resilience Report Here!

What can you expect to see in your inbox every two weeks?
Current, relevant tools and resources to help you and your teams thrive and grow,
calendar notifications for upcoming trainings and webinars,
and periodically,
FREE giveaways and special deals
just for our subscribers.
We believe that communication should always add value.
If ours does not, you can simply unsubscribe at any time. 

Dont forget to check your spam folder once you have subscribed! 
The Resilience Resource Report may have been accidentally deposited there.

You have successfully subscribed. Don't forget to check your spam folder! Archived issues of The Resilience Resource Report are available here: