Your Journey

Pre-session Questionnaire

DISCLAIMER

Horse-assisted coaching sessions provided by me are used in conjunction with and not instead of conventional medicine, nor should it replace the advice of a doctor.

Collective Coaching & Marketing (FZE) is a lifestyle development consultancy licensed under Sharjah Research Technology & Innovation Park Free Zone Authority - Trade License #SC251032201 By using this website and/or purchasing services provided on here, you agree to do so in accordance with processes outlined in this privacy policy.

CONTACT FORM FOR Collective Coaching & Marketing (FZE)

Please note that this information will be kept confidential and will be stored to conform to Collective Coaching Data Protection and Privacy Policies.

By answering the below questionnaire as accurately as possible it will provide valuable information to assist me in determining how best to help you. Kindly complete in full in advance of our first treatment session.

First name*

Last name*

Email*

Phone*

What brings you to this session? *

Are you currently working with a therapist, coach, or mental health professional?*

Yes

Are there any emotional triggers you'd like me to be aware of?*

Yes

How would you describe your current emotional state? Are you currently experiencing high levels of stress, anxiety, or burnout?*

Do you have any physical injuries, conditions, or chronic pain that we should consider during the session?*

Yes

Do you take any medications that might affect your energy levels, balance, or responsiveness?*

Yes

Do you have prior horse experience?*

Yes, only riding

Yes, minor interaction

Do you have any fears or past negative experiences with horses?*

Yes

What would you like to explore or work on during this session? Are there specific situations, relationships, or decisions you'd like support with?*

Is there anything you'd like the facilitator to not do or ask during the session?

Is there anything else you’d like to share before we begin?

Emergency contact (name + number)*

TRANSFORM

Let's talk!

Email: hello@collective-coaching.com

United Arab Emirates
Spain

Questionnaire Form

Contact us

First name

Last name

Email*

Phone

Message*

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