Client Agreement • Melissa Lloyd • Author & Life Coach

Before starting our coaching partnership it is important to begin our relationship understanding the coaching process and our specific roles in this process. Please read the Client Agreement and acknowledge that you agree and understand what is expected for this process.

Name *

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Last

Email *

Phone *

Emergency Contact Information

Emergency Contact *

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Emergency Contact Phone Number *

Client Agreements

As a client, I understand and agree that I am fully responsible for my well-being, including my choices and decisions. I am aware that I can choose to discontinue coaching at any time. I recognize that coaching is not psychotherapy and that professional referrals will be given if needed. *

Agree
Disagree

As a client, I understand that in the course of the coaching services, Melissa may ask questions that are personal, challenging, or disturbing. You also acknowledge and agree that you are fully responsible for your physical, mental, and emotional well‐being, and for any actions, choices and decisions made as a result of the coaching. You waive and release any claims arising or results from my questions, suggestions, and advice (or lack thereof) and from actions, choices, and decisions you may make. *

Agree
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Life coaching involves all areas of life, including work, finances, health, relationships, education, and recreation. I acknowledge that deciding how to handle these issues and implement my choices is exclusively my responsibility. *

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Life coaching does not treat mental disorders as defined by the American Psychiatric Association. Life coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care, or substance abuse treatment, and is not to be used in place of any form of therapy. *

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Disagree

I acknowledge that I have been completely honest about my health history, mental health history or previous treatments for substance abuse that may impact my coaching relationship. If I am currently in therapy or otherwise under the care of a mental health professional, I have consulted with this person regarding the advisability of working with a life coach and this person is aware of my decision to proceed with the life coaching relationship. I am willing to sign a Release of Information form so that my coach and my counselor may collaborate on my coaching. *

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I understand that information will be held as confidential unless I state otherwise, in writing, except as required by law to include: if I become a danger to myself or someone else, if I abuse a minor or an elderly person, or if I am involved in a court case against my coach. *

Agree
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I understand that life coaching is not to be used in lieu of professional advice. I will seek professional guidance for legal, medical, financial, business, spiritual, or other matters. I understand that all decisions in these areas are exclusively mine, and I acknowledge that my decisions and my actions regarding them are my responsibility. *

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Coaching will be an ongoing relationship that may take a number of months, although either party can terminate the relationship at any time; however, one more session after the client decides to quit is recommended. Some or all of the coaching may be through telephone contact. *

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Coaching can involve brainstorming, values clarification, the completion of written assignments, education, goal setting, identifying plans of action, accountability, making requests, agreements to change behavior, examining lifestyles, and questioning. *

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Coaching is most effective when both parties are honest and straightforward in their communication. Except as expressly provided in this agreement, there are no guarantees or warranties, express or implied as to the outcomes of my coaching. *

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I understand Melissa Lloyd is a Christian Life Coach and holds a Biblical worldview. *

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You may text (preferred) or email between sessions if you need “spot coaching”, have a problem, or can’t wait to share a win with me. I enjoy delivering this extra level of service. I do not bill for additional time of this type, but I ask that you please keep the extra calls to five or ten minutes. When you leave a message, let me know if you want a call back or if you are just sharing. *

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Prior to beginning, both parties agree to the: fee of $_60_ per 60-minute session paid in full at the beginning of each session unless client has chosen a coaching package and payment is due at the beginning of each month for the agreed upon package sessions. Sessions going over 50-minutes will be billed in 15-minute increments and paid in full at the end of the session. Desired forms of payment include Zelle (melissa@melissalloyd.org), Venmo (@MelissaLloydMinisties), or cash. *

Agree
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All sessions begin at the scheduled time of the coaching session and will not extend beyond 60 minutes for any late starts due to client delay. *

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Client will notify coach 24 hours in advance of cancellations for scheduled calls or sessions understanding the coach will bill for missed appointments. I agree to make every effort to reschedule sessions which are cancelled in a timely manner. *

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Coach responses to client inquiries will meet a 24-hour standard for an acknowledgement and reply to the original message for the duration of the coaching agreement. Emails, texts, or calls will be returned Monday through Friday during the hours of 9am CST and 6pm CST. Occasionally I can return emails, texts, or calls on Saturday, but this is not guaranteed. *

Agree
Disagree