Let’s get started Name * First Name Last Name Date of Birth * MM DD YYYY Email * Phone * (###) ### #### What are your goals in using Wingman? * No problem if you don't know. Your coach will help you break down your goals during your kickoff call. If you could only pick one superpower for your coach what would it be? Incredible Listener Amazing Motivator Wealth of Wisdom Calm, Cool, and Collected A+ Accountability Your Bigger Fan & Champion Have you ever worked with a mental health coach, therapist, or counselor in the past? * Yes No If you have worked with a mental health coach, therapist, or counselor in the past, can you share a bit more on the type(s) of professional support you've received, how recently you worked with them, and what issues you were/are seeing them for. Emergency Contact Information * First Name Last Name Email * Phone * (###) ### #### Disclaimer: I understand that Wingman offers mental health coaching, not therapy. Wingman coaches will never act under their license, provide a diagnosis, treat mental illness, or prescribe medication. Wingman is not a substitute for therapy. We are focused on setting specific and actionable goals, tracking progress, offering support and accountability, and celebrating wins. Clients are ultimately responsible for their own outcomes. Yes No Thank you!
