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Milly Friedman
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ABOUT
COACHING
The Landing Coaching Membership
The Grounding Path
The Rooted Path
Edgewalkers Path - High Level Coaching
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Edgewalkers
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CLIENT INTAKE
First Name
Date of Birth
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Phone
Occupation
Relationship Status
Last Name
Email Address
Address
Do you have children?
*
Yes
No
If yes, what are their ages?
What season of life are you currently navigating?
Have you worked with a Coach, Therapist, or Mentor before?
Yes
No
What feels strongest, healthiest, or most supportive in your life right now?
Are you currently:
*
Required
training athletically
navigating leadership
building a business
parenting
moving through life transition
other
What are your current goals?
What kind of support are you hoping to receive through this coaching journey?
What would meaningful progress look like for you over the next few months?
When stress or pressure increases, how do you typically respond?
Do you currently struggle with any of the following?
burnout
overwhelm
perfectionism
emotional shutdown
anxiety / stress
people pleasing
inconsistency
nervous system dysregulation
difficulty resting
Identity confusion
Other
Is there anything you would like me to know to best support you?( health,emotional,lifestyle, or environmental factors)
Please Confirm:
*
Required
Coaching is not a substitute for therapy or medical care
This package is valid for 4 months from purchase
This package is nonrefundable
I understand that coaching is a collaborative, self responsible process and is not a substitue for medical or psychological care.
I consent to email communication for scheduling and coaching support
I understand sessions occur biweekly and require a minimum of 24hrs for rescheduling.
Would you like to enhance your experience with the following add ons?
Custom Nutrition and Workout Plan
Additional Sessions
I accept terms & conditions
Submit Intake
I've received your intake and I am looking forward to working together!
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