Please carefully review each of the statements provided:

• I certify I am over the age of 18.
• I have voluntarily elected to receive coaching and the nature and purpose of this service have been explained to me.
• I understand that coaching can be used to help me focus and achieve the outcomes I desire including but not limited to improved confidence, heightened self-awareness, clarity of purpose, goal attainment, balance, and improved communication.
• I understand that it is my Coach’s intention to provide services that will assist me in reaching my goals. Based upon the information that I provide to my Coach and the specifics of my situation, my Coach will provide recommendations to me regarding coaching.
• I understand that I am a partner in the coaching process and that I have the right to agree or disagree with any of my Coach’s recommendations.
• I recognize there are no guaranteed results and that independent results are dependent upon many factors including but not limited to networks, mindset, lifestyle, and habits.
• I understand that there is a possibility I may require further coaching to obtain the expected results at an additional cost.
• I understand that if the coaching relationship isn’t working for me, it is my responsibility to say something so the coaching methods can be adjusted.
• I understand that progress will be tracked periodically, and at the end of the committed period, my coaching outcomes and progress will be evaluated.
• I understand that payment is due prior to my scheduled coaching appointment.
• I understand that this agreement is for coaching, not therapy.
• I understand that coaching cannot deal with issues such as depression or anxiety and that these issues must be dealt with by a physician or licensed mental health professional.
• I understand that my Coach will not diagnose or treat any medical or psychological conditions.
• I understand and agree that I am fully responsible for my well-being during my coaching sessions, and subsequently, including my choices and decisions.
• I understand that coaching is not a substitute for counseling, psychoanalysis, mental health care, or substance abuse treatment, and I will not use it in place of
  any form of therapy.
• I understand the difference between a coach and a therapist and that I will get appropriate professional help for any mental health issues.
• I understand that coaching is, at present, an unregulated industry and that my Coach is not licensed.
• I understand that all comments and ideas offered by my Coach are solely for the purpose of aiding me in achieving my defined goals. I have the ability to give my informed consent, and hereby give such consent to my Coach to assist me in achieving such goals.
• I acknowledge that in regards to our collaboration, my Coach does not guarantee specific outcomes, or success.
• I understand that because coaching is not a medical treatment, insurance will not cover the cost.
• In choosing BESA Coaching as your Life Coaching provider, you agree to the following:
  I have carefully reviewed and comprehended the coaching disclaimer and waiver. I hereby confirm that I have thoroughly reviewed this agreement and comprehended its contents. I acknowledge and accept the terms of releasing any liability towards my Coach or B.E.S.A LLC. This includes any claims, suits, actions, demands, or rights to compensation for damages that may arise from the advice I receive from my Coach or any other aspect of your coaching relationship.