ISFit Coaching

"Inner Self Fitness
Because feeling good on the inside...makes all that hard work on the outside shine!


ISFit Coaching 
Shoshana Hanson CSMC
Certified Stress Management Coach 
Client Intake Form 
Terms and Conditions

I welcome you as a client.  I am excited to be partnering with you, and supporting you in your personal and professional growth.  Please complete the following information after you've scheduled your first appointment and either bring this in with you at your scheduled appointment or email in to get started.  

Your Name _________________________________________ Date _________________________

Company Name ______________________________________ Title_________________________
(Where you work)
(If You Own One)

City______________________________Prov./State________________Zip/Postal Code __________

Work/Type of Business _______________   Number of Years Employed/ In Business ____________

Bus. Phone ________________________   Bus. Fax ___________________ 

Work Email ________________________   Home Email_______________________________

Home Address _____________________________________________________________________

City ___________________________ Prov./State ________________ Zip/Postal Code ___________

Home Phone _________________________ Home Fax ____________________________

Your Birthday (m/d/y)______________________

Spouse/Significant Other's 
Name ____________________________________________________________________________

Children's Name/Ages ______________________________________________________________

Session Day/Time/Frequency: ________________________________________________________

Start Date:_______________________________Monthly Fee______________________________

Fees and Payment option:  Check  ________  Debit/Credit Card ________ 
Credit Card #____________________________________________________________________


SVC # __________________________________________________________________________

Disclaimer:  The client is aware that the coaching relationship is not psychological counseling or any kind of therapy.  Coaching does not treat illness or pathology.  The client is also aware that Coaching results cannot be guaranteed.  The client agrees that he/she is entering into coaching understanding that the Client is responsible for their own decisions and results.  The Client also agrees to hold the coach free from all liability for any actions or results for adverse situations created as a direct or indirect result of a referral or other advice given by the Coach._____________Client Initials

Call Proceedure (for "phone" sessions):  The Client shall contact the Coach at the agreed upon hour.  If the Client fails to make the appointment time, the Client is still responsible for the coaching fee, unless 24 hour notice was given to reschedule the call.  The Coach will make every effort to reschedule with the client.

_________________________________________   ____________________________
Client Signature                               Date

Shoshana Hanson/ ISFit Coaching Intake Information for Client’s File Confidentiality: ___________Client Initials
The Coach and Client recognize that the nature of the coaching relationship involves the passing of personal and business information that may be highly confidential. As such, the Coach agrees that, unless express permission is granted, all coaching calls and conversations and written communications remain completely confidential between the Coach and Client, except where prohibited by law.

How to Get the Most out of Your Coaching 
It is important to both of us for you to benefit greatly from the time we spend together each week, and also during the time between our calls. This brief exploratory template is used to maximize our mutual understanding of where you are and where you want to go, and to help you to know what to expect from Coaching.

Rewarding Action #1 - Make a List of What You Value, what You Love, and what You Really Want in LifeCoaching works best when you have clear goals that are in alignment with your needs and values. If you’re unclear about any of these, we can discuss them during our call.
Rewarding Action #2 - Get to Know Your Self in New Ways Working with a Coach is a healthy way to grow. Most Clients hire a Coach to accomplish several specific goals. Coaching is all about being, and expressing, your genuine best self. Don't be surprised if you discover new parts of your self, or if you find your goals adjusting themselves, to who you really are, and who you want to be. This discovery process is natural, so you needn't rush it, just realize it will likely happen. Accelerated personal and professional growth is the hallmark of being coached.
Rewarding Action #3 – Your Coach Is Here to Fully Participate In Our Partnership.
Rewarding Action #4 - It Is Your Job To Participate Fully In Our Partnership Make A Commitment Fully invest your self in this opportunity for accelerated growth and accomplishment. Show up for your coaching call on time and fully here, ready to problem solve, reflect, strategize, and celebrate.

It is Your Coach’s job to:

Listen: for many things, such as your assumptions and conclusions, what you’re saying in your self talk; evidence of emotional pain that blocks action; what motivates you and excites you; self doubt, growth you may not be giving your self credit for, resources you already have available but may not as yet recognize, and much more.

Question:What are your goals; what do you love; what may be frightening you that limits you from taking action; are you being present time oriented; are you willing to trust your self, have courage, and take action; how do you see your self moving forward in this goal; what inner work must you do to dare to be your real selfconsistently in your life, how can I best support you now, and much more.

Design:Your Coach assists you in defining your personal and professional goals in alignment with your needs, values and your genuine self; assists you in creating strategies, discovering resources, and taking action confidently.

Forwarding Action: A Coach is an equal not an expert or an authority. A Coach does not give counseling or therapy, instead a Coach makes requests, offers suggestions, advice and opinions, and shares intuitive hunches, that may be helpful in facilitating your ongoing forward momentum. Your Coach is an equal partner in designing your action plan. When your Coach makes a recommendation for action, you always have the power to stop and renegotiate your action strategy.

Strenghtening and Heartening: It is your Coach’s job to cheer you on; to see your strengths and to tell you about them; to help you to overcome self doubt, and accept your self as the person of strength and competence that you really are; to be the emotional bridge who holds the space for you to dare to risk and change.

Dream Stretcher: It is your Coach’s job to help you stretch yourself toward your dreams, to think bigger, to go farther, to be committed, to grow and achieve more than you’ve dared to imagine.

Staying in Present Time:Your Coach will help you remember that our power is always in the present moment. In order to be in the present moment, it is necessary to have a certain detachment from outcomes. Rather than attach fixedly to a specific outcome we desire it is more effective to remain flexible and open while we are making progress. In present time we always have the power of choice.

Telling The Truth:It is your Coach’s job to tell the truth 100% of the time, from a viewpoint of compassion and an intention of your well being. Occasionally this may take the form of confronting you with a truth that you may prefer to avoid or deny. Your Coach offers you a mirror that has no judgments attached.

Developing Self Trust: It is your Coach’s job to assist you in seeing your self as a resource you can trust and depend on. Knowing that you can trust your self, and reach out to others in collaboration is strength. Becoming dependent on your Coach is not what Coaching is about.

Fee: Keep our partnership clear of undue distractions by paying your coaching fee on time as agreedl.

Self Nurture: We all are more energetic, able to cope, and are inspired when our own needs are being met. Make a commitment to nurturing your self and your well being beginning with your first Coaching session and on out into your future. If you want to work on expanding your ideas of self-nurture and getting your needs met, let’s discuss it.

Reduce Clutter: Be willing to reduce the clutter in your environment and in your life that stands in the way of your progress toward your life and your self as you’d like them to be. Though change can sometimes feel challenging, your Coach is here to help you smooth the way. 

Be Honest : Be Honest with Your Self and your Coach 100% of the time. I want to hear everything you wish to express. Compliments and referrals are happily received, and please, if you ever feel any dissatisfaction in your coaching, speak up. This will keep our partnership strong. Partners communicate with respect as equals, and trust each other’s intention of well being toward one another. I welcome all of your input. 

Take Action: When you agree to take action, do your very best to complete it.