Client Information Form

All client information is kept confidential and treated appropriately. I keep a confidential record of your name, phone number and email address in order to meet the continued requirements for coach credentialing by the International Coaching Federation (www.coachfederation.org).

Completing this form will help me to know where you are currently and where in your life you would like improvement, more importantly it allows me a better understanding of how I can work with you to achieve your goals. After completing the form please click the submit button. When I receive the form, I will reach out to you using your preferred method of communication. I look forward to working with you!

<3, Coach B.Von Squires