Client Form

Please complete this client form prior to your first coaching & consulting session, providing information on which goals and aspirations you would like to achieve, and your most significant challenges.

Signing this document confirms that agree to our Terms and Conditions.

Please return this form prior to your session to maria@mjscoachingconsulting.com.

Confidentiality: Please note that information will be kept strictly confidential.

Mandatory fields*

*First Name:


*Last Name:


*Signature:


*Today’s Date:


*Email:


*Telephone Number:


*Skype ID:


*Date of Birth:


*Time of Birth:


*Location of Birth (City/Town):


Full Address including Post Code/Zip:


*Country:


*Time Zone:


*List your goals and aspirations in order of priority across personal, professional and business.






*List your most significant challenges:






How did you hear about us?