Life Coaching Agreement

Name:
Tel:
Mobile:
Email address:
Address:
Occupation:
DOB:
Marital Status:
Spouse Name:
Children's Names and DOB:
Spiritual affiliation, if any:

Fees: £50 per hour

Changes: Re-scheduling or cancellation should be done 24 hours before the planned appointment or the full fee will be charged.

Problems: If you say or do anything in a session that you don't feel comfortable with, or if you have any concern with the way we are working, please let me know as soon as possible. For our work to be effective, you have to be honest with me.

Confidentiality: I abide by the Code of Professional Ethics and Conduct of the International Coach Federation (ICF), CoachU (CU) and the Coaching Academy (LCA).

Anything that you share in the sessions is confidential. I undertake not to use or disclose any information you shared with me during the sessions, with the exception of:

- supervision, though your identity will not be revealed;
- cases where I am required by law to report certain criminal activities, viz.terrorism.

If you intend seriously to harm yourself or others, I will endeavor to work with you and discuss who else needs to know.

Nature of Coaching: You are aware that the coaching is not construed as counselling or psychotherapy. Coaching results are not guaranteed and you take full responsibility for creating your own results. However, when appropriate and with your permission, I can offer you counselling, psychotherapy, hypnotherapy and Reiki in the session.

You have read and agreed with the above.

Client:

Date:

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Copyright 2006 Joyce Chiu Broadbent