Welcome To GB Real Life & Leadership Strategies, LLC

We are so glad you have chosen to invest in yourself and your future, and we look forward to working with you.

If this is your first appointment with GB Real Life & Leadership Strategies, LLC, please complete the information below. There is no need to complete this form if you have already done so, but if there is something additional you want your coach to know before your appointment, please share it in the appropriate area below.

First name

Last name

Birthday

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Day

Year

Address

Phone

Employer (If Applicable)

Are there any serious medical conditions or disabilities in your immediate family? (you, parents, siblings, children)

People living with you currently (name, relationship, age)

Children not living in your home currently (name, age)

Why do you desire coaching?

Have you worked with a coach, counselor, therapist in the past? If so, what was that experience like for you?

Before you get started with your coach, is there anything you feel they should know to best serve you?

Emergency Contact

First and Last Name

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