Name
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Pronouns
Email
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Phone
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Emergency Contact (Name + Phone)
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Date of session (if known):
Which service have you booked?
What drew you to Horse-Assisted Coaching?
(What caught your eye or made you think, “this might be what I need”)
What would you most like to get out of your session?
It could be a specific goal, a mindset shift, or simply clarity on something
If things felt different after our session, what would that look or feel like for you?
Think about how you’d like to show up differently in your life or leadership
Have you worked with horses before?
No experience is needed, this just helps me set things up safely and comfortably
Do you have any medical conditions, allergies, injuries, or mental health considerations that I should be aware of to ensure your safety and comfort?
Everything is confidential. This just helps me support you appropriately.
Consent & Agreement
By ticking below, you acknowledge that you’ve read and agree to the Horse Space Terms of Service (linked above) and understand that:
Horse-Assisted Coaching is a coaching experience, not therapy or counselling.
All sessions are non-riding and involve interaction with horses on the ground.
While every care is taken to ensure safety, working with horses carries inherent risk.
You are responsible for your own emotional and physical wellbeing during and after sessions.
Confidentiality is respected, except where required by law or for safety reasons.
Is there anything happening in your life or work right now that feels particularly relevant to bring into this session?
e.g. challenges, transitions, relationships, patterns you’ve noticed, etc.
What helps you feel safe and comfortable when exploring new experiences or personal growth?
Anything else you’d like me to know before we meet?
I confirm that the information provided above is true and complete to the best of my knowledge.
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