ONE-ON-ONE INTEGRATIVE COACHING

Initial Client
Intake Forms

Please make sure to fill out, and return both of the following intake forms at least 48 hours before our first session. This information and your reflections will act as a starting point on our journey together.

Before you begin, I invite you to find a comfortable space where you feel safe and held. For extra grounding support you can listen to the optional guided meditation:

1. Beginning Reflections

Click here or on the image above to download the Beginning Reflections file.

Two ways to engage:

1. Download and print, fill in by hand, and email us photos of your completed beginning reflection pages.

2. For those who prefer to type their answers, download and open the file in any PDF reader, fill in, save, and email the completed PDF.

Please email your completed reflections to: raina@findingstillness.one

2. Client Intake Form

First Name

Last Name

Pronouns

Mailing address? (where you can receive packages)

Your birth date (month, day, year) and time of birth? (Please be as accurate as possible)

This information is entirely optional. We'll use it to form your astrological birth chart.

Location of birth? (City, State, Country)

This information is entirely optional. We'll use it to form your astrological birth chart.

Emergency contact? (Name, relation to you, phone number, email address)

Who is on your personal support team?

This could be friends, family, groups, professional support, etc.

Partner/significant other's name? (If applicable)

Children's names and ages? (If applicable)

What, if any, mental health, or other coaching support do you currently receive?

Thank you for taking the time to begin your journey with intention.

Initial Client
Intake Forms

Please make sure to fill out, and return both of the following intake forms at least 48 hours before our first session. This information and your reflections will act as a starting point on our journey together.

Before you begin, I invite you to find a comfortable space where you feel safe and held. For extra grounding support you can listen to the optional guided meditation:

1. Beginning Reflections

2. Client Intake Form

Thank you for taking the time to begin your journey with intention.

Let’s journey together.

Let’s journey together.

Creative Studio
About the Studio
Connect

Visit the Shop
Integrative Coaching
About Raina Jung

Practicing Presence

Initial ClientIntake Forms

Please make sure to fill out, and return both of the following intake forms at least 48 hours before our first session. This information and your reflections will act as a starting point on our journey together.

Before you begin, I invite you to find a comfortable space where you feel safe and held. For extra grounding support you can listen to the optional guided meditation:

1. Beginning Reflections

2. Client Intake Form

Thank you for taking the time to begin your journey with intention.

Let’s journey together.

Let’s journey together. Let’s journey together.

Creative StudioAbout the StudioConnect

Visit the ShopIntegrative CoachingAbout Raina Jung

Practicing Presence

Initial Client
Intake Forms

Let’s journey together.

Creative Studio
About the Studio
Connect

Visit the Shop
Integrative Coaching
About Raina Jung