Jola-Grace Coaching Form

Congratulations on taking the first step to metamorphose into a beautiful, confident and fulfilled life that you desire and deserve. Kindly complete this form as part of the on-boarding process to begin your journey to enjoy wholeness, satisfaction and inner peace.

Name *

First

Last

Email *

Current location *

Date of Birth *

How did you hear about Coach Jola-Grace?

What specifically would you need help with? *

How long have you had this for and what are you doing to address it at the moment? *

Have you worked with a coach/therapist/councillor before? *

Yes
No

If yes, what worked well for you and what did not work in the relationship(s)? If no, please state "N/A" *

What 3 things do you expect to achieve at a result of hiring me as your life coach/therapist during our sessions? *

Preferred Medium of Coaching *

Video Call
Audio Call
Chat
Any of the above

I certify that I am emotionally prepared, physically sound and financially ready to undergo sessions with a Coach/Therapist *

Yes
No

I understand that I am working with Coach Jola-Grace Emmanuel for Professional Coaching /Therapy. *

Yes
No

I understand that I will pay the agreed fee. This fee is paid in advance either by Cash, Cheque or Bank Transfer. Services must be paid for in advance, or they cannot be provided. We do not have a refund policy. *

I Agree
I Disagree

Therapy helps you deal with the Trauma of your past, it is a gradual journey to heal the wound in your soul. Therapy is a partnership between the client and the therapist. Coaching is often more interactive and action-oriented than traditional therapy. And while coaching deepens your self-learning and self-acceptance in the same way that therapy might, at the same time it also gives you the tools, support, and direction to “move on” into new possibilities, relationships, and behaviours. It is important that everyone seeks the appropriate kind of support for the issues they face, and in some cases, a client may require both coaching and therapy. *

I Understand
I Don’t Understand

Cancellation / Late Policy: Therapy/Coaching sessions operate on an appointment basis to allow us to give our clients an appointment when needed and to allow seamless functionality. All appointments, once made will be considered confirmed.• We ask that you give us 24hours notice for cancellations. Any missed appointment (no show) or late cancellations (made less than 24hours of time slot) will be charged in full and NOT credited towards another appointment. except in emergencies and this will be at the discretion of the Coach• Appointments that are cancelled before 24 hours may be rescheduled within the same day/week/month, based on availability.• If you are more than 30 minutes late for a one-hour appointment, your appointment is considered a “no show”, and you will be charged for the full appointment. If you are then given another appointment straightaway, that will be at an extra charge and at our discretion.• If you are late for your appointment, for whatever reason, (less than 20 minutes) then you will be given the remainder of your allotted time slot. *

I Agree
I Disagree

CONFIDENTIALITY NOTICE: Jola-Grace Soul Clinic abides by the highest standards of professional ethics. Jola-Grace Soul Clinic holds clients and clients’ information in high esteem and as such, treat clients with utmost confidentiality. Jola-Grace Soul Clinic understands that exposing clients’ information can attract a legal action. Please be informed that none of our clients’ information is shared with any third party. Cases can however, be used as success stories but are only made available to the public with the express permission of the client. Otherwise, names of character(s) are protected and stories written in a very discreet format. Confidentiality will however be broken if you are a danger to yourself or anyone else and may cause harm or death. *

I Agree
I Disagree

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