Please answer and return the following questions before our first session. It will help the coaching process get off to a quicker, smoother start.
Jan Silvious, Life Coach
7030 Lee Highway Suite 201
Chattanooga, Tn. 37421
423 553 9995
“A change of perspective can change your life.”
I understand that life coaching is a comprehensive process that may involve all areas of my
life, including work, finances, health, relationships, education and recreation. I acknowledge
that deciding how to handle these issues and implement my choices is exclusively my choice
I understand that I must consult with any psychotherapist I may currently be working with
regarding the advisability of working with a life coach at this time.
I understand that information will be held confidential unless I state otherwise, in writing, as
required by law.
I have read and agree to the above: