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New clients

Client intake

Thank you for your interest in being a client of AskJonDavid, LLC. Information collected about new clients is confidential and will be treated accordingly.

Coaching at ASKJONDAVID is not therapy, counseling, or medical care, and it does not diagnose or treat health conditions. If you need clinical care, a licensed professional is the right next step.

Client information
Self-assessment

Select the option that matches each statement.

I am optimistic.
I am satisfied with my life.
I am satisfied with my health.
I am satisfied with my financial situation.
I am satisfied with my social life.
I feel good about my personal relationships.
Self-description
What are your three most significant accomplishments?
What are your three most significant disappointments?
Describe your top three strengths.
Signature

Typing your name is your signature on this intake.