Sensho Wagg
Create !
Your new artwork
Who's a client?
Contact
Feedback
Bio
Preliminary Forms
Resources
Upcoming Events
Blog
Create !
Your new artwork
Who's a client?
Contact
Feedback
Bio
Preliminary Forms
Resources
Upcoming Events
Blog
Sensho Wagg
musician, artist, certified transformation coach, daojin (person of the way)
Client Profile
Name
First Name
Last Name
Today's Date
Email Address
Cellphone
Address
Date of Birth
Occupation & Title
Emergency Contact & Relationship
Names of Important People in your Life
Support Systems You Have in Place: please * any people above who are part of your support systems
If you have had a formal coaching, facilitation or consulting arrangement before, please describe (and when):
What do you want to get out of coaching?
What are your business and personal goals?
Other goals
What keeps you up at night?
What is your most pressing concern?
What are you frustrated by?
What causes you pain?
What do you want your coach to know?
What arrangement with your coach would be ideal?
Suggestions/Requests
How should your coach BE to encourage you to be accountable to yourself?
Thank you!
Client Agreement
I hereby create a coaching alliance with Sensho Wagg. I commit to creating a successful alliance that supports me in reaching my goals and living the life I want. Sensho agrees to hold all content of our sessions completely confidential.
First Name
Last Name
I agree to coaching for a minimum of 6 weeks, 1 session per week (or in regular succession)
yes
no
I agree to shape the coaching relationship to best meet my needs by sharing what I know about my own motivation
yes
no
Co-designing structures that will support me
yes
no
Asking for changes if the coaching strategy is not working
yes
no
I give the coach permission to challenge me with powerful questions
yes
no
Make requests that I take action when I identify things that are important to me
yes
no
Hold me accountable for taking actions I commit to
yes
no
Provide inquiries for me to think about
yes
no
I agree to the following business arrangement: Fee paid 24hrs before each session. Fee includes unlimited email with coach
yes
no
I agree to the following scheduling items: If payment is not made in advance, session will start as soon as payment is made
yes
no
If I am late for an appointment, my session will be shortened
yes
no
I will re-schedule any appointments 24 hours in advance or forfeit the appointment and the fee
yes
no
After two missed appointments without re-scheduling, the alliance may be terminated
yes
no
When I decide my coaching is completed, I agree to use our final meeting for completion and celebration
yes
no
I agree to the rate of $______per coaching hour
I agree to advance payment of 3 or 6 sessions at the discounted rate of: $______
I understand that Sensho Wagg is not a medical professional, and that this coaching alliance is not intended nor implied to be a substitute for medical diagnosis, therapy or treatment. I agree to seek qualified medical care if needed. Initial to agree:
I agree to pay by
Venmo
credit card
PayPal
Check recd by Sensho 2 weeks in advance
Initial to agree:
Date
MM
DD
YYYY
Thank you!