Gina Molinari yoga, wellness, travel and coaching
Gina Molinari: Yoga, Retreats, Coaching
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Life Coach: Work With Me
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Complete and submit the below form for a
free 15 minute session
. We identify your goals, review concerns, and determine if working with me as your Life Alignment Coach is a good fit. No strings attached!
Life Coaching Consultation
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Name
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Employment
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What do you want to achieve from Coaching?
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Give me a general idea. It's okay if you aren't clear yet!
Which best describes your reason for coming to Coaching now?
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I want to change my career or job
I enjoy my job, but I want to create a more flexible or location independent schedule
I recently had a big life change and don't know what's next
I need support creating a healthy work/life balance
I just need a little support
Other
How much time per week are you willing to invest in reaching your goal?
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less than 1 hour
1-3 hours
3-5 hours
more than 5 hours
Do you have experience with yoga/meditation/spiritual practice?
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Additional Comments
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Are you currently receiving therapy or counseling?
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Yes
No
Have you received therapy or counseling in the past?
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This helps me understand where potential roadblocks may show up. Everything you share is confidential.
I am not a therapist, psychologist, psychiatrist, nutritionist, or counselor. I do not provide therapy or solutions to your problems. My objective as a Life Coach is to support and empower you to achieve your goals. We will do this through various question & answer formats, worksheets, identifying your personal values, clarifying intentions, and creating systems to hold yourself accountable. By submitting this form you are saying, "I am ready to invest in myself and do the work to live a life I am passionate about". Do you understand and agree to this?
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Yes, I agree
No, I do not agree
I agree to receiving marketing and promotional materials
Submit
Yoga
Schedule
Private Classes
Coaching
Life Coach: Work With Me
My Values
Bodywork
Love Notes
About
Contact