Your Heart s Song Coaching Welcome Package

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1 Your Heart s Song Coaching Welcome Package Giovanna Capozza, Lifestyle Strategist Every woman has a story. Coaching with Your Heart s Song Coaching is where you can bring your story to be heard, honored and acknowledged. I am committed to helping you further develop your life and relationships to be one that inspires you and makes your heart sing. Coaching is partnering with individuals in a thought-provoking and creative process that inspires them to maximize their personal and professional potential. Coaches help people improve themselves and their performance in all areas of their lives. They provide support, develop leadership qualities, promote accountability, encourage self-discovery, help generate solutions and enhance skills and creativity. Coaches do this by honoring their client as the absolute only expert in his or her life. They do it by listening, using genuine concern, accessing intuition, using humor and expressing wise, new perspectives. My commitment to you is to be 100% with you for 60 minutes each week as I empower you within your life and address any questions and challenges as I guide and encourage you to take action. I m thrilled that you ve decided to take this huge step in your journey to discover what is keep you from the life and relationship you want and deserve. You're going to learn actionable tools and resources that you can implement to start making the changes that you want to see in your life. This is what Empowerment Coaching is all about. No life story is free of challenges. I expect your story to include battles and victories. I welcome you to embrace this time for change in your life. It's time to break through the unnecessary burdens and overcome the obstacles that entangle you and keep you from living your purpose. I am here to assist you in the success process so that you will thrive in your life and relationships and ultimately experience joy in the way it is truly meant for you. I am honored to journey with you and witness the glorious transformation in the continuation of your Story. To aid our process, please complete in as much detail the information below.

2 The Basics Name: Cell Phone: Home Phone: Work Phone: Website: Street Address: City: State: Zip Code: Country: Age: Date of Birth: Relationship Status

3 Current Family Husband, children, grandchildren, etc Name Age Relation to You

4 Family of Origin Parents, siblings, etc. Name Age Relation to You

5 Your Goals A First Look What are your reasons for wanting to receive coaching? Please be specific. What is driving you to make this change? Please be specific.

6 What are your specific goals for this coaching program and for taking your life, career, and relationships to the next level? What specifically? What specifically do you want to accomplish by the end of this program? Please list your goals in point form

7 What has kept you from accomplishing these goals in the past? Be Specific.

8 Describe your relationship with your Mother. History

9 Describe your relationship with your Father. History

10 What was your parents relationship with each other like? What relationship patterns or dynamics did you learn from your parents?

11 Describe your family dynamic around careers, relationships, life, money etc. How has your family's views on careers, relationships, life, money etc. shaped your perspective around these?

12 How committed are you to achieving and completing your stated goals?

13 What are you willing to change about yourself or your current patterns to accomplish your goals? Be Specific.

14 What other personal and relationship development work have you done? Please list all programs, seminars, teachers, mentors, healers, books etc. that have been part of your development: Which of these programs have been the most helpful for you and why? Which of these programs have been the least helpful for you and why?

15 What is going to be the most difficult part, or the biggest obstacle to success for you? What can you do to overcome these obstacles? Be Specific.

16 What are YOUR strengths and weaknesses? Be Specific.

17 If you could change three things in your life, career and relationships, what would they be?

18 Present Day What is the state your current relationship status? If in a relationship, how long have you been in the relationship? How do you feel about your partner? If you're single, how long have you been single? How do you feel about your last partner/relationship?

19 If you want to start a relationship, what kind of relationship would you like to develop? If in a relationship, what is your vision for the relationship? Be Specific.

20 What is your biggest problem, wound or frustration around your relationships?

21 Do you have any other additional informaton for Giovanna as she prepares for you in your coaching program?

22 I am committed to my personal success with my coaching program. I commit to showing up 10 minutes before my appointment time prepared with my completed homework. I will give myself time to be present and prepared with a goal in mind for each session. I commit to do what I need to do to be calm, emotionally present and ready to do the work. I understand to the degree in which I take responsibility and put in the effort towards my personal transformation will determine my success. I commit to being open and ready to receive coaching and to ask the questions I need answered so that I may use my coaching time to it's fullest. I understand that I will need to provide 48 hours notice if I can't can't make a session. If I need to cancel and reschedule I understand that this will be a forfeit of the session. (with exceptions given for emergency situations). Thank you so much for filling out the Welcome Package. I look forward to our sessions together. Sincerely, Giovanna

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