Coaching

Coaching with David

David will work with you to achieve your goals and aspirations utilizing the modalities of hypnosis, goal setting, and camera talk sessions to live your best life. He will assist in illuminating the “aha” moments that will lead you to self-acceptance and self-love. From this space of authenticity, you are free to live fully in the present, no longer chained to limiting beliefs inherited from the past.

Are You Ready?

If you are ready to commit to the process, to challenge yourself to overcome old belief systems, David will mentor you through the process to live your very best life. The journey will not be easy, and neither should it be! You are here to overcome the past, and give meaning to your story. As a potential client David will conduct a free 30-minute phone interview once you have completed the enrollment form. David only works with clients who are committed to their journey, and who understand the process can be challenging, and at times uncomfortable.

Your commitment to overcoming past fears and erroneous beliefs together with David’s insights and guidance will free you to live your very best life!

Coaching with David

First Name

Last Name

Date of Birth

Phone Number

Address

City

State

ZIP Code

Please List: Name - Age - Occupation - Personality Trait - Year Died (If Applicable) For:

Yourself

Your Mother

Your Father

Sibling 1

Sibling 2

Sibling 3

Sibling 4

Sibling 5

Sibling 6

First Child

Second Child

Third Child

Fourth Child

Fifth Child

Sixth Child

Early Recollections

An early recollection is a memory of a SPECIFIC INCIDENT that occurred when you were a child. Write down the first two memorable childhood events that come to mind. Give your approximate age and note how you felt at the time. It doesn’t matter if the experiences you recall are positive or negative. Example of an early recollection: Age 8. My mother and father divorced. I felt abandoned and afraid. Notice that the above recollection describes a specific incident. It is not a generalized report. The following is NOT an early recollection: When I was a kid I used to fight with my brother. An early recollection is a memory of a SPECIFIC INCIDENT that occurred when you were a child. Write down the first two memorable childhood events that rise up in your heart. Give your approximate age and note how you felt at the time.

Early Recollection 1 Age & Incident

I felt

Early Recollection 2 Age & Incident

I felt

Is there anything else that you would like to share that would better enable us to help you accomplish your goals?

Additional Background Information

Employed By

Describe Your Responsibilites

How Are You Valuable To Your Company

Marital Status

Single Married Divorced Widowed

Describe Your Relationship

Do you have Children?

Yes No

Describe Your Relationship With Them

Have You Ever Had Counseling?

Yes No

Is there anything that would have made your results more positive?

Major physical illness or injury and the year

Goals

How would you like for your life to be different as a result of COACHING WITH DAVID? Be specific about the results you desire.

Career

Family

Friendships

Intimate Relationships

Yourself

Additional Information

Coaching

Coaching with David

Are You Ready?

Coaching with David

Copyright © 2023 David Cavil.