Contact - KUHNERT COACHING

SCHEDULE A SESSION

Dear future client,

In preparation of your first session we would kindly ask you to take the questionnaire.

Name

E-Mail

Surname

Date of Birth:

Why are you contacting me?

What is your motivation behind seeking to be coached by me?

Are you being faced with a specific challenge?

Since when have you been pouring over this issue?

Are you currently seeing a medical specialist?

Yes No

Are you suffering from any chronic illness?

Yes No

Are you taking any medications?

Yes No

Do you exercise?

Yes No