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Client Intake Form (Coaching & Counselling)

Before we begin working together, this form helps us understand your current circumstances, well-being, and what support is most appropriate for you.

Everything you share is used to ensure your experience is safe, ethical, and tailored to your needs, in line with professional safeguarding responsibilities.

Each section has a purpose, explained briefly, so you know how your information is used.

Eligibility & Contact Details

To confirm eligibility, maintain accurate records, and manage communication about your sessions.

Date of Birth
Day
Month
Year
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