Thriving with Cheryl JonesPlease complete this coaching intake form so I can learn about you and your needs. Congratulations on taking this powerful step forward! Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Date of Birth MM DD YYYY Which most accurately describe(s) you? Woman Man Non-Binary I prefer not to say Other How should I address you? She/Her He/Him They/Them I prefer not to say Other What has drawn you to engage in coaching? Please share any hopes, preferences, and expectations that you are aware of now. Please provide any details about your current situation or recent events that will help me to understand your circumstances. Please share any previous coaching or counseling which you think may help us. Thank you very much for sharing this information and for allowing me to be part of your wellness journey!
