New Client Form

New Client

Welcome to the Red Tent. ⛺️ Go ahead and carve out some time in your day, grab yourself a glass of water and get comfy….there are some things I’d like to learn about you!

*All info shared here is confidential & will not be shared with any additional parties.

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Place AND time of Birth

Do I have your permission to use your birth info to calculate your natal chart and/or Human Design? This is intended to inform & inspire how I coach you specifically! (*Note: Does not imply that YOU have to learn about these.😉)

Preferred Communication

What are you hoping to accomplish through our coaching sessions? Why are you here? First thoughts….

Tell me about an important goal/intention/dream you have for your life right now.

Do you have any conditions – mental or physical – that you believe would be helpful for me to know about?

Are you currently actively working with any healers, helpers or therapies?

How about a glimpse into your home life 🏡 – Partner/Family? Children? Pets? Environment?

Will your family and friends be supportive of your desire to make intended changes in your life?

Occupation? Do You Love It?

Stress – We’ve all got it. How’s yours?

Let’s talk about your cycle! Are you in a menstrual or menopausal phase of life? How’s your relationship to your monthly cycle, in general?

Sleep, precious sleep. ✨How much & how’s the quality?

What is the single most important thing you ALREADY know you want/need to change about your life/style?

Is there anything else you would like to share?

Do you understand that Red Tent content is intended for the purpose of education, self-empowerment and inspiration, and should not be considered a substitute for professional medical advice, diagnosis or treatment.

New Client Form

New Client

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