Shalon Clevenger

1:1 Coaching

USD 130.00

Shalon Clevenger

Clarity & Confidence Through Faith-Based Coaching

50 Minutes
Personal Information
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Additional Information

Basic Contact Information

name, address, etc.
Full Name
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Birthdate
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Mailing Address
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Coaching Intent & Parameters

Please select each statement as "Agree" or "Disagree" as to why you are wanting a coach. 
Mental health coaching -- "I need help with processing my emotions, changing my thoughts, relating with others . . . "
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Life coaching -- "I need help identifying goals, managing personal change, maximizing my personal/professional potential . . ."
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Mentoring -- "I am seeking experiential wisdom, guidance, and advising to grow and learn..."
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Training --"I need a linear learning path with established curriculum in a particular area of expertise..."
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Consulting -- "I have specific problem(s) that need clarifying and suggestions for implementing solutions..."
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Spiritual Direction -- "I desire a closer walk with God and need someone to help with strategies, accountability..."
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Other--"I have other reasons why I'm seeking a coach"
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I wish to incorporate my faith into our conversations.
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My faith is . . . 
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Medical History & Emergency Contact

Basic information about any pertinent medical history, including any diagnoses that could affect your coaching journey. 
I affirm that I understand Life Coaching is not a medical profession and that I am responsible for communicating to the coach without prompting any medical conditions that might affect our coaching journey.
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Please list any diagnoses and any medications that could affect our coaching journey, including any physical or mental diagnoses and prescription medications. If there are none, please type "n/a."
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Who is your emergency contact (Name and Phone Number)? If you do not have an emergency contact, please type "n/a."
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Name of Primary Care Physician (in case of emergency)
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