Client Intake | Wellness

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New Client Offer: 30% off your first treatment Code: Welcome

Good Intentions WELLNESS.

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BEFORE WE START OUR WORK, PLEASE FILL OUT THE FORM BELOW

Client Intake Form

First Name

Last Name

Email

Phone

Have you been coached before?

Yes

No

01. What goals do you want to achieve in the next 3 months?

02. What is holding you back?

03. Why do you want to achieve this? How will your life change?

04. What are your greatest challenges you have had to overcome?

05. What expectations do you have for me as a coach?

Thank you for your application! I will get back to you within 24 hours!

Good Intentions WELLNESS

3069 Reynard way San Diego CA 92103

ashley@goodintentionswellness.com

(858) 876 - 7080

A place of inclusive wellness.

I'm proud to be a member of the LGBTQ+ community, vegan, and sober. My goal is to create a welcoming space for everyone, including but not limited to BIPOC, Latinx, and Asian individuals. I'm always looking for ways to improve my practices, so if you have any suggestions, please feel free to contact me. These are things we should be discussing together :)

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