Coaching Preparation Form

“No matter where my coaching client is in their journey, I am dedicated to cultivating a space and relationship that values intentional reflection, purposeful alignment, and strategic planning to manifest change.”

— My Coaching Promise

Coaching Services Offered

Individual Strengths Coaching ($185)

$90 deposit to get started, Remaining balance due prior to second coaching session.

CliftonStrengths® Assessment (Top 5 Strengths)
Two one-hour sessions to:
- Explore the results of the Clifton StrengthsFinder® Assessment
- Create a plan to accomplish goals utilizing talents/strengths

TOP 5 CLIFTONSTRENGTHS ASSESSMENT

Top 5 CliftonStrengths Assessment gives you a partial view of your CliftonStrengths profile. This report lists your top 5 CliftonStrengths so you can identify your dominant talents and start leading a strengths-based life.

Intensive Individual Strengths Coaching ($360)

$170 deposit to get started, Remaining balance due prior to third coaching session.

CliftonStrengths® Assessment (All 34 Strengths)
Four one-hour Coaching sessions to:
- Explore the results of the Clifton StrengthsFinder® Assessment
- Gain awareness and appreciation of your talents
- Focus talents productively
- Create a plan to accomplish goals utilizing talents/strengths
- Evaluate results and commitments for the future

CLIFTONSTRENGTHS FULL 34 REPORT

CliftonStrengths 34 takes you beyond your top 5. Your CliftonStrengths 34 Report reveals your complete talent profile -- all 34 CliftonStrengths themes in order based on your responses to the CliftonStrengths assessment.

Name

First Name

Last Name

Which Coaching Service are you seeking?

Individual Strengths Coaching ($185)

Intensive Individual Strengths Coaching ($360)

What day/times of the week work best for your coaching sessions?

Payment Preference

PayPal

Cashapp

Based on your previous answer, what email/screen name is connected to your payment preference?

Discovery Information

What do you hope to take away from your coaching experience?

In what areas of your life would you like to create the most change?

How do you enjoy being encouraged and held accountable?

What should I know about you to coach you most effectively?

Looking at the past six months of your life, do you like the direction your life is moving in? Explain.

List 3 Short-Term Goals (in the next few months):

List 3 Long-Term Goals (in the few years):

What concerns do you have, or potential barriers to meeting these pre-established goals?

(such as fear of failure/success, time constraints due to a job, skill-deficits, etc.) List as many as you think of:

Specifically, what changes do you think would need to occur for you to overcome these obstacles?

Coaching Agreement

Please read in detail:

I understand that I am working with Shawn J. Moore for Personal Development Coaching at the agreed upon fee. This fee is paid in advance by the designated payment method. Services must be paid in advance, or they cannot be provided. Your payment is your contract for the agreed upon sessions, outlined by the designated payment schedule. Refunds are not offered on prepaid sessions except under extenuating circumstances. We will have standing scheduled time biweekly by Zoom or meeting in person, as deemed most useful. Please remember that you must give 24 hours prior notice if you need to cancel or change the time of an appointment, otherwise you will be charged for the session in full. I will make reasonable efforts to reschedule sessions, which are cancelled in a timely manner. It is important to understand that Coaching is a professional relationship. While it may feel at times like a close personal relationship, it is not one that can extend beyond professional boundaries, either during or after our work together. Considerable experience shows that when boundaries blur, the hard-won benefits gained from the coaching relationship are endangered. In addition, all information will be held as confidential unless you request otherwise in writing Personal development coaching is distinctly different than counseling, psychotherapy, and psychoanalysis. Coaching is often more interactive and action-oriented than traditional therapy. And while coaching deepens your self-learning and self-acceptance in the same way that therapy might, at the same time it also gives you the tools, support, and direction to “move on” into new possibilities, relationships, and behaviors. It is important that everyone seeks the appropriate kind of support for the issues they face, and in some cases, a client may work with both a coach and a therapist. As the client, the understanding and agreement must be understood the coach is not an employment agent, financial analyst, psychotherapist or business manager. The coach has not and cannot promised, shall not be obligated to, and will not 1) procure or attempt to procure employment, business or sales for the client 2) act as a therapist, providing psychological counseling, psychoanalysis or behavioral therapy.

I have read and agree to the Coaching Agreement.