Coaching Proposal
Welcome!
I am so grateful that you reached out to me! That is the first great step in realizing you want to change your life. Please fill out this form as honestly as you can. I will take your thoughts into prayerful consideration and I will respond within two days with a proposal package. Remember: You are not alone. You are loved. -Elisabeth www.elisabethklein.com/coaching
Full Name [REQUIRED]
Email [REQUIRED] {if an email address isn't given, I can't get ahold of you, girlie!}
Marital status:
Married, good marriage
Married, difficult marriage
Separated
Divorced
Widowed
Never married
Dating
Remarried
I am able to invest this amount of time towards coaching and my growth:
one month
two months
three months
Element: Readings + Journaling Exercises: I agree to engage in the readings & exercises assigned to me.
Yes.
Element: Coaching Call
No calls, please.
I'm open to one 30-minute coaching call per month.
Element: Webcast training
No webcasts, please.
1 webcast per month.
What topics do you wish to cover?
relationship with God
what my role is in my difficult marriage
what my role is post-divorce
self-care
grieving in a difficult marriage
grieving through and post-divorce
forgiveness vs trust in a difficult marriage
communication in a difficult marriage
God defines my life, not my marital status
identity in a difficult marriage
newness in the midst of a difficult marriage
thriving in a difficult marriage
stress / anxiety / feeling overwhelmed
feeling stuck
hopelessness
loneliness
dating post-divorce
single parenting
remarriage
blended families
grieving the end of your marriage
shame / judgment
anger post-divorce
rejection / abandonment
boundaries
your future man?
your future post-divorce
God redeeming & using your pain
If comfortable, share specifically what is troubling you these days.
What are you hoping to accomplish with coaching?
Where did you find the link to this questionnaire?
Twitter
Facebook
Hope & Healing group
an email from you
your blog
referral from:
How ready are you to try coaching?
I'm not ready. I'm not sure why I filled this out actually.
I'm pretty sure I'm ready. I'm a bit scared, but sometimes scared is good, right? (RIGHT!)
I'm 1000% ready. I know something needs to change and it's time. Let's do this!
Waiver: If we work together, I release Elisabeth Klein from any responsibility regarding my marriage or mental health.
Yes
No
Electronic Signature:
Submit
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