Your payment is complete, Beautiful! I believe God connected us for a reason and I can’t wait to work with you to be the strongest you possible:)

If we haven’t already scheduled your first session, you can check my availability and schedule your first session here. Of course, you can always email me at christy@christyjohnson.org or text me at 405-210-8011.

Client Data Form

In the meantime, I’d love to get to know more about you. Please complete the Client Data Form below and return to me prior to our first session. It helps me know how I can best help you.

Client Agreement: The Client Agreement will come in a separate email from SignRequest so be on the lookout for that. You can sign the agreement electronically.

And never forget….self care isn’t selfish. 3 John 1:2 tells us: Beloved…that’s you by the way…I desire that you prosper and that you walk in health, even as your soul prospers!

Client Data Form

Client intake

Name
MM slash DD slash YYYY
Address
Relationship Status
Have you ever been coached?
Detail any important aspects, accomplishments, and highlights that you feel are important for me to know. I love to read, so feel free to write as much or as little as you’d like.

LIFE BALANCE ASSESSMENT

Take a few minutes to think about your life and then rate yourself on the following scale with a score from 1 – 10, with 10 being completely satisfied, and 1 indicating plenty of room for improvement.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.