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I've invited you to fill out a form:

The Emotion Code Client Form

Please answer the questions below so I will have complete contact information for you and a context
for your interest in working with me in coaching using The Emotion Code (TEC). If a question does not apply to you, just answer NA.
After you submit your form, you will receive a copy of the form with all of your answers by email to keep for future reference. All information will be kept confidential.
Please send me a copy of your completed form at least 6 hours before our first session so I will have time to review your answers.
I look forward to getting to know and working with you in coaching.

Warmly

Tatjana Manic - TimeForYourselfIsNow

Name

Phone and address

Describe two or three situations that frequently make you irritable, frustrated, or angry? *

What prompted you to explore working with a coach now? *

What might be the downside(s) (if any) of resolving the issues you have chosen to work on in coaching?

Ideally, what would you most like to achieve through our work together? *

What do you consider to be some of your weaknesses? *

What support do you need in order to achieve this? *

What significant life changes or stressful events have you experienced recently? *

What would you be doing if this issue disappeared/ you achieved your goal? *

How did you hear about my coaching (or who recommended me)? *

Describe three things in your life that make you happy*

What do you consider to be some of your strengths? *

Disclaimer

The Emotion Code sessions are not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please see a medical professional if you need help with depression, illness, or have any concerns whatsoever. WE DO NOT OFFER MEDICAL ADVICE, SUGGEST TREATMENT, DIAGNOSIS OR ANY OTHER OPINION on your conditions or treatment options. Any SERVICES obtained do not offer medical or psychological advice, guidance or treatment. The practitioner is not responsible for any negativity resulting from the self improvement techniques and is advising all potential clients to investigate the techniques and have a clear understanding of what they do and how they help, before deciding to go forward. The practitioner reserves the right to decline service to anyone they think will not be a good fit for self improvement techniques. The practitioner is not a doctor and does not prescribe medication nor advise that prescribed medication should be adjusted or be stopped altogether nor will they ever in any way change the diagnostic that the qualified and certified doctor gave, including but not limited to: advice, suggestion, etc.

I've invited you to fill out a form:

The Emotion Code Client Form

Ideally, what would you most like to achieve through our work together? *

What do you consider to be some of your weaknesses? *

What significant life changes or stressful events have you experienced recently? *

What would you be doing if this issue disappeared/ you achieved your goal? *

How did you hear about my coaching (or who recommended me)? *

Describe three things in your life that make you happy*

What do you consider to be some of your strengths? *

Disclaimer

All Rights reserved

©2023 by Time For Yourself Is Now.

I've invited you to fill out a form:

The Emotion Code Client Form

Ideally, what would you most like to achieve through our work together? *

What do you consider to be some of your weaknesses? *

What significant life changes or stressful events have you experienced recently? *

What would you be doing if this issue disappeared/ you achieved your goal? *

How did you hear about my coaching (or who recommended me)? *

Describe three things in your life that make you happy*

What do you consider to be some of your strengths? *

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Disclaimer