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Whole Person Intake
Form
Tool Should Be Used By:
Coaches who work with the whole person and is interested in such aspects
of their clients as nutrition, fitness, relationships and other areas which
may have impact on their total outlook and well being.
Tool Description:
The whole person intake form is to be used by coaches and counselors to
gain insight into their clients' needs. This 10-page form was created
so that the coach or counselor initially has a greater sense to the whole
person they are working with.
Areas of the form include:
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self-assessment
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personal goals
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tastes and preferences
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environment
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spirituality
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community
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relationships
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health and nutrition
This intake form is the first
document often given to clients. Why not make it as comprehensive as possible?
As coaches and counselors
we know that all aspects of the client are eventually discussed and all
important in the movement of the process for the client. This 10 page form
makes the task of inquiry around nutrition, fitness, spirituality, relationships
and environment easy.
Each section of the intake
form includes basic questions that give insight into the client and acts
as a starting point for the coach or counselor's questioning.
The WPI form also asks the
client for a self assessment as well as to review and state their own goals.
This 10 page WPI form is
an invaluable tool for and practitioner for initial review of the client
and their goals.
People who have worked with
this document have said:
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"I have used this form throughout
my sessions with my clients. Not only does it give me basic logistical
information but insight into the clients deeper thoughts"
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"I never knew how to introduce
nutrition into the conversation... now it is readily available"
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"This form not only keeps my
client sessions on track, but I can plan or strategize with my client,
their direction of development as well as a call to action - each week!"
Ready to be printed out
and filled out by the client, this form will save you a lot of time and
give you a great deal of information about the client.
Format: PDF
File (86KB)
Have a question? Contact
seller directly at email
All
rights reserved: You may use with clients and prospects individually
and reproduce for that purpose only. You may not publish or re-sell in
any form and must retain all copyright information.
Price: $7.95
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Creator's
Background: Vivian Burns Lennan is a spiritual counselor, personal
Fitness trainer, nutritional practitioner and a personal coach. She
works with people on living life consciously. "Through an integrative inquiry
we begin to awaken the mind, body and spirit in living an authentic, meaningful
life." Vivian lives in NY state, is Leader of the Holistic coaching
SIG and a co-leader of the virtual community of the ICF. She facilitates
the Extreme Self Care Program, Girls Circle and Living a Perfect Life Program,
and writes a Cornerstone news e-zine. Her web site is: http://www.cornerstonecoachingandcounseling.com
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