Tom Viets
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Life Coaching
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Life Coaching
The Adult ADHD Coach
Austin, Texas
Phone: (512) 963-3905
E-mail: coach@TomVietsLifeCoaching.com
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This agreement states the structure of the life coaching relationship between Tom Viets Life Coaching and
Name: _________________________________________________
Address: _______________________________________________
City: __________________ State: _________ Zip Code: _________
E-mail: ______________________ Phone: ____________________

What is expected of the coach:
• To be honest with the client and not judge the client or the client’s actions.
• To create a safe place to set goals and explore the changes needed to achieve those goals.
• Goals met are celebrated but so are attempts because something is always learned.

What is expected of the client:
• To be available for coaching at the agreed time and phone number.
• To be honest with the coach and is expected to explore new ways of doing things, telling the coach if a suggestion is something the client is not willing to do.
• To set goals and make decisions. The coach can and will help you clarify your goals and look at the options when making a decision, but can not do it for you.
• To keep track of the overall goals and the action list that supports those goals.

Appointments:
Coaching is done by phone. The coach will phone the client promptly at the appointed time. If the client is not available and there is a late start the lost time can not be made up as this would conflict with the following appointments. If there is 24 hour notice I will be happy to re-schedule the appointment. In case of a client emergency it is left to the discretion of the coach as to whether to re-schedule. All appointments that can not be made by the coach for whatever reason will be re-scheduled.

Payments:
Payments must be made in advance of the coaching appointment. The cost of the first six weeks of coaching is $________. After that, the client may pay for four weeks at a time in the amount of $_________.

Non-disclosure:
Tom Viets Life Coaching will only keep contact information on any client. That contact information will not be given or shared with any other person or company.

Confidentiality:
The discussions between the coach and client are strictly confidential and will not be used for the  benefit of the coach or communicate it to any third party.

Dispute Resolution:
This is not a binding contract. Any time the coach or client wish to end this agreement any money for the unused appointments will be refunded to the client.