YOUR goals. OUR plan. MY motivation.

A collaborative partnership that builds lasting and sustainable changes to your health and wellness.

Client:

  1. I am ready and able to invest the time necessary to make improvements to my overall well-being.

  2. I acknowledge that I am fully responsible for my own progress through my choices and decisions during this process.

  3. I will participate wholeheartedly with my coach and will commit to being on time to our sessions.

  4. I agree to openly and honestly share any personal information related to my wellness and progress.

  5. I understand that information discussed will be held as confidential unless I state otherwise, in writing, except as required by law.

  6. I understand I may have set backs in my behaviors and that these are a normal part of behavior change that may be used positively to establish new behaviors.

  7. I understand that I need to ask for the resources, support and feedback I need from my coach.

  8. I am aware that I can choose to discontinue coaching at any time during this process if I feel this service is not meeting my needs.

  9. I recognize that coaching is not a substitute for counseling.

 

Coach:

  1. I will facilitate an agreement that makes clear the nature of the wellness coaching process.

  2. I will support you as you create your own wellness plan and path to change.

  3. I will encourage you as you build the ability and confidence to reach your goals and a higher level of well-being.

  4. I will listen to you attentively and without judgment or my own agenda.

  5. I am committed to being honest and forthright with my feedback.

  6. I will promote realistic expectations throughout our discussions and with goal setting.

  7. I will ask questions when needed and encourage you to arrive at your own answers.

  8. I will assist you in identifying creative solutions as you work through barriers that may arise.

  9. I will ask your permission before providing advice or direction.

  10. I will make the appropriate referrals for topics that may arise outside of my scope of practice.

  11. I will keep all client information discussed confidential unless I state otherwise, in writing, except as required by law or in the event that I feel client is in imminent danger.

 

 

Client’s Signature:_______________________________________________________      Date:_________________

 

 

Coach’s Signature:_______________________________________________________      Date:_________________

 

© 2020 JJ Communications, LLC. All Rights Reserved.

Alternative Balance Professional Group Affiliate Link: https://alternativebalance.net/#5db32e3103617 

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