Gibbsology Client Intake Form
Thank you for choosing Gibbsology Coaching. We are so thrilled to be able to work with you. Please take the time to fill out this intake form. You must also read the Coaching Informed Consent Form at ryanbgibbs.com/intake. Then we can begin our journey as a team!
First Name
Last Name
Email
Phone Number
Please provide your address
Which Program(s) are you interested in learning more about
Personal/Life Coaching - $125.00 per session
Career Coaching - $125.00 per session
Audition or Speech coaching (where you provide the content you want work on) - $85.00 per session
The 4 Session "Owning Personal Project Management" Program - $400.00
The 4 Session "Defining Your Narrative In A Workspace" Program - $400.00
The 4 Session "Engaging Freelance and The Long Game" Program - $400.00
Creating a custom program for Master Classes, Workshops or Group Instruction.
What platform of coaching service are you interested in? (check all that apply)
Phone (No Video)
Zoom (Video Call)
In Person (in home office in Lancaster, PA)
Why are you interested in our service?
How did you find Ryan and Gibbsology, LLC as your coach?
What brings you to coaching at this time? Is there something specific, such as a particular area of your life on which you would like to focus? Be as detailed as you can.
What is your current occupation? What do you do? How long have you been doing it?
Have you seen a coach before?
What else do you think it would be helpful for me to know?
By checking here you are confirming that you have read and agreed to the entire Gibbsology LLC, COACHING INFORMED CONSENT FORM available @ www.Ryanbgibbs.com/intake
By signing here you are confirming that you have answered these questions in a truthful and complete way (To the best of your knowledge.) And well as read and agreed to the Gibbsology LLC, COACHING INFORMED CONSENT Form
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What is your preferred payment plan? - We collect payment and info after the free consultation, at the time of scheduling the first work session.
Venmo
Paypal
Credit Card (Visa or Mastercard)
Cash (for in person appointments only)
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