$150 COACHING RETAINER FEE with Dee Dial

Dee Dial

$150 COACHING RETAINER FEE

SESSION DEPOSIT

A non-refundable retainer fee deposit of $150 schedules your first session.

This includes a 60-minute initial session, an initial Wheel of Life or Saboteur assessment review, and access to Simply Coach, which will allow you to collaborate directly with your coach through a HIPAA-compliant platform. Simply Coach also includes a library of resources, videos, action plans, and other customized tools and templates for goal planning and lifestyle management.

After your session is scheduled, you will receive a link to your coaching engagement agreement which contains all of the terms and conditions discussed with your coach. A signed agreement is necessary before your first session begins.

Please let me know if you have any questions and add "info@lotuspetalstherapy.com," "simply.coach," and "no-reply@app.simply.coach" to your address book in order to receive these messages.

Personal Information

First Name

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Last Name

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Questions / Comments

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Additional Information

About You

If sessions will be held remotely, please provide your city and state below (i.e., Arlington, VA):

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Are there other contact details I need to know (alternate email or phone number)?

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Are you a federal employee?

Yes

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How did you find me?

Website/Google Search

Referral

Federal Referral

Heal.Me

Other

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What brings you to coaching?

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Have you invested in yourself before?

A great deal

A lot

A moderate amount

A little

None at all

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Is this your first time working with a Coach?

Yes

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Have you worked with any of these similar modalities? Check all that apply.

Mentor

Counselor

Therapist

Consultant

Sports Coach

Trainer

Other

None

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What primary goal are you hoping to achieve this year?

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What else have you tried? Briefly describe your experience.

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What is it costing you to not be able to resolve this issue or reach this goal?

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What else do you want me to know about YOU?

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Assessments

If you took the Wheel of Life Assessment, what area of your life had the lowest score(s), I.e., Relationships?

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If you took the Wheel of Life Assessment, what area of your life had the highest score(s), I.e., Career?

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If you took the PQ Assessment, enter your score here, I.e., 59%:

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If you took the Saboteur Assessment, enter your top 3 Saboteurs here:

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About Me

What are you looking for in a coach?

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If we are successful together, how will you know?

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What questions about ME do you need answers to more immediately?

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