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New Client Intake Form

Request a preliminary consultation about coaching with Fortify Coaching.

Life coaching online with certified life coach Krystal Burke of Fortify Coaching.

If you’re interested in beginning coaching/consulting with me,
this is the place to start.

Please fill in this form completely and I will be in touch.

Your information will be kept confidential and not shared with any other party unless necessary to prevent harm to you or others, or as required by law.

This form is a request for a preliminary consultation. It does not establish a client or agency relationship or guarantee any services.

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Do you use text messaging?
Do you believe you are experiencing burnout? If so, what type? Check all that apply:
I have a sense of purpose/meaning my life (1: no, 3: somewhat, 5: absolutely)
I am fulfilling my calling but I feel like quitting. (1: no, 3: somewhat, 5: absolutely)
I wish I knew more about my life purpose. (1: no, 3: somewhat, 5: absolutely) (copy)
What symptoms of burnout are you experiencing? Check all that apply:
Goals for your journey to stop feeling burnout. Check all that apply: