Free Coaching Consultation

Thank you for your interest in Redeemed Daughters Coaching. Please complete this brief form to request a
free 15-minute consultation. This consultation will give us an opportunity to discuss your goals, answer your
questions, and determine whether coaching may be a good fit for you.

Coaching

Full Name

Email

Phone

Preferred Method of Contact:

Email

Phone

Text message

What days and times are generally best for you?

Are you 18 years of age or older?

Yes

No

Your Coaching Interests

What encouraged you to reach out for coaching at this time?

What is the primary challenge or goal you would like support with?

What would you hope to accomplish through coaching?

Which areas would you most like to focus on? Please select all that apply.

Are you comfortable with Christian principles, prayer, and scripture being incorporated into coaching?

Yes

No

I would like to discuss this during the consultation

Which coaching option are you considering?coaching?

30-minute coaching session

60-minute coaching session

Four-session coaching package

I am unsure and would like help deciding

How did you hear about Redeemed Daughters?

Coaching Acknowledgment

I understand that coaching is a goal-focused and forward-moving service intended to support personal growth, accountability, and goal achievement. Coaching is not psychotherapy, counseling, medical care, crisis intervention, or a substitute for mental-health treatment.

I understand that submitting this form does not establish a coaching relationship and does not guarantee that coaching services will be offered.

I have read and understand the coaching acknowledgment above.

Electronic Signature

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Date

Why Redeemed Daughters?

Because healing matters. Because every story deserves to be told. Because faith can restore, empower, and guide. We are here to walk with you, to remind you of your worth, and to offer resources that make your journey toward healing and growth intentional and filled with hope.