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Nela Life Coaching
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Intake form
Help us serve you better
Name
*
Email address
*
What are your primary goals for life coaching?
Please select at least one option.
Personal growth
Career advancement
Improving relationships
Enhancing self-confidence
Stress management
Health and wellness
How did you hear about nela life coaching?
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Social media
Friend or family
Online search
Event or workshop
What challenges are you currently facing?
Have you participated in life coaching before?
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Yes
No
What is your preferred method of communication?
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Email
Phone
Video call
In-person
What is your availability for coaching sessions?
Please select at least one option.
Weekdays
Weekends
Mornings
Afternoons
Evenings
What specific areas would you like to focus on during coaching?
Please select at least one option.
Mindfulness
Goal setting
Work-life balance
Time management
Self-discovery
Overcoming obstacles
What is your age range?
Select
18-24
25-34
35-44
45-54
55-64
65+
Additional questions or comments
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