New Client Form - Ray Fisher Coaching

Name(s): *

Preferred first and last name(s)

Age(s): *

Timezone: *

Email(s): *

Phone Number(s): *

Time together: *

e.g., 3 years, off and on

Children: *

Names and ages or ‘none’

Living Situation: *

Together, apart, part-time, separated, etc.

What brings you to coaching? *

Describe your and your partner's involvement with therapy/counseling/coaching. *

Have you participated in therapy/counseling/coaching before? for how long? currently active?

Coaching Policies and Agreements: *

I have read and agreed to the terms found in the Coaching Policies and Agreements page

Optional – Anything else you want me to know before our first session?