Welcome.
Let's get started.
Please fill out this coaching application. Once completed, you can instantly book a free consultation to see if we're a good fit together.

If we do decide to work together, this application will serve as my comprehensive guide to you, so please make sure your responses are accurate. All information is 100% confidential. 
Come on in
 
Choose your coaching package. *


 
Great. Let's get some simple stuff out of the way.

 
What's your full name? *

 
What name should I call you by? *

 
What's your email address? *

 
What's your telephone number? *

 
What's your mailing address? *

 
How old are you? *

 
What is your full birthdate? *

This information allows me to research your life path according to numerology. 
Example: January 1, 1970
 
What medical professionals are you working with right now, if any? *

For example: psychotherapist, nutritionist, homeopathic practitioner, psycho-pharmacologist, or any other medical professional.
 
What medication are you currently taking, if any? *

 
Let's talk a little bit about your personal history.

 
What's the most important thing I should know about you right now? *

 
What major transitions are you going through, if any? *

For example: birth, death, marriage, breakup, job change, moved residences, etc.
 
What would you say are your three greatest accomplishments in life? *

 
What's the hardest thing you ever had to overcome? *

 
Let's go deeper.

These questions will help you gain clarity about where you are right now and where you want to go. Take a few deep breaths, then click below.
 
What are three positive qualities that you already have that you appreciate having? *

 
What are three positive qualities that you'd like to develop? *

 
Which term do you feel most comfortable using in conversation? *


 
How important is spirituality to you? *

The big questions: Who am I? Where do I come from? Why am I here?
 
What are your spiritual beliefs? *

 
What is your daily spiritual practice, if any? *

 
Do you have a personal or professional vision for your life? *

 
What do you want that you don't have? *

You really want it, but it's not here yet or maybe you're afraid it will never come.
 
What's holding you back? *

Be honest about the blocks, the challenges - the elephant in the room, if there is one.
 
What scares you? *

What are you afraid of confronting? What thoughts, memories, or emotions are you running from when you try to distract yourself with food, alcohol, drugs, sex, exercise, and/or work?
 
What brings you joy? *

What makes you come alive? What sparks a light within you?
 
Who inspires you? *

Whose personality and way of being in the world has ignited a desire within you to live bigger and more fearlessly? Name a few people, famous or not, and explain why they inspire you.
 
You're almost done!

Breathe deeply. It'll help you think more clearly.
 
Be honest.  *

Is there a problem or pattern you hope I won't ask you about, but honestly you want me to?
 
What makes you think we'd be a good fit? *

There are lots of coaches & counselors out there. What made you think about choosing me?
 
How can I best support you? *

What kind of coaching do you need at the moment?
 
Accountability & checking up on goals *

 
Support, encouragement, validation *

 
Insight into who you are & what your life purpose is *

 
Busting through blocks & removing obstacles *

 
Suggesting or designing action steps *

 
Importance of a daily spiritual practice *

 
Creating a vision of what you can become or accomplish

 
Directness, asking hard questions, challenging you to move forward *

 
How will you know if you're receiving value from the coaching process? *

What outcomes would make this investment worth your money?
 
How did you find me? *

Example: Facebook, Instagram, Twitter, Mind Body Green, YFS, my friend Steve told me about you
 
Legal Disclaimer *

In the context of my relationship with Katherine Saer of Katherine Saer,LLC, I understand that Katherine Saer is an alternative holistic health care practitioner and coach.

I understand that Katherine Saer is not a licensed MD, DC, OD, PA, ND, psychologist, or psychiatrist. I understand that Katherine Saer does not provide medical or nutritional advice. I understand that any information delivered is strictly for informational and educational purposes only.

Katherine Saer is a minister of the Universal Life Church and provides transformational energy healing. Clients are encouraged to seek advice from medical doctors in addition to considering complementary and alternative practices.

I understand that all information transmitted is 100% confidential, and I am not withholding information pertinent to my care.
     
 
Release of Liability *

The information contained within www.katherinesaer.com or within private coaching sessions or online classes is not a substitute for professional advice such as from a Medical Doctor, Psychiatrist, or therapist of any kind. The information provided by Katherine Saer LLC or Katherine Saer does not constitute legal or medical professional advice nor is it intended to constitute such advice. 

Any decisions you make, and the consequences thereof are your own. Under no circumstances can you hold Katherine Saer LLC or Katherine Saer liable for any actions that you take. You agree not to hold Katherine Saer LLC, or any employees of Katherine Saer LLC, liable for any loss or cost incurred by you, or any person related to or associated with you, as a result of materials or techniques, or coaching, offered by Katherine Saer LLC or Katherine Saer. 

Life Coaching is a service that provides personal coaching to specific individuals and/or groups. The client is aware that coaching is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice. The client understands and acknowledges the coach will not be liable legally or otherwise, for the actions the client may or may not undertake as a result of the life coaching sessions. No assumption of responsibility is made, or given, and the client requesting such advices agrees not to hold Katherine Saer LLC or Katherine Saer responsible or liable in any form or fashion, for such actions taken of their own accord. The method and process by which this advice and direction are given in no manner whatsoever, written or verbal, constitutes an agreement or liability on the part of the provider and is acknowledged to be different in many ways than clinical and medical counseling. 

You agree that using any of these life coaching services are entirely at your own risk. Life coaching services are provided "as is", without warranty of any kind, either expressed or implied, including without limitation any warranty for information services, coaching, uninterrupted access, or products and services provided through or in connection with the service. This service is requested at the client's own choice and with inherent singular responsibility. Any actions or lack of actions, taken by the client of such advice is done so solely by choice and responsibility of the client and is neither the responsibility nor liability of Katherine Saer LLC or Katherine Saer. The client takes full responsibility in the decisions they make after being coached as well as the consequences. The client enters into coaching with full understanding that they are responsible for creating their own results.
     
Thanks for completing this typeform
Now create your own — it's free, easy, & beautiful
Create a <strong>typeform</strong>
Powered by Typeform